Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PROGRESSIVE MEDICAL ASSOCIATES PLLC

NPI: 1548218613 · MESA, AZ 85202 · Physician Assistant · NPI assigned 05/04/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GRIMES, JAMES controls 20+ related entities in our dataset. Read more

$30.27M
Total Medicaid Paid
403,027
Total Claims
382,453
Beneficiaries
18
Codes Billed
2018-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialGRIMES, JAMES (CFO)
NPI Enumeration Date05/04/2006

Related Entities

Other providers sharing the same authorized official: GRIMES, JAMES

ProviderCityStateTotal Paid
APP OF NEW MEXICO ED PLLC ALBUQUERQUE NM $41.89M
DEGARA APP, PLLC LANSING MI $35.82M
APP OF TENNESSEE ED, PLLC MARYVILLE TN $30.13M
APP OF INDIANA ED, PLLC BRENTWOOD TN $26.14M
APP OF MISSISSIPPI ED, LLC JACKSON MS $17.00M
APP OF SOUTH CAROLINA ED PLLC HARTSVILLE SC $11.00M
KALAMAZOO EMERGENCY ASSOCIATES, PLC KALAMAZOO MI $9.76M
APP OF ALABAMA ED PLLC RUSSELLVILLE AL $9.22M
APP OF KENTUCKY ED, PLLC PRINCETON KY $7.03M
ACUTE CARE SPECIALISTS LONGVIEW TX $5.94M
TRUEPARTNERS COMANCHE EMERGENCY SPECIALISTS PLLC LAWTON OK $3.74M
TRUEPARTNERS MANATEE EMERGENCY SPECIALISTS PLLC BRADENTON FL $3.16M
APP OF FLORIDA ED, LLC MILTON FL $2.96M
APP OF TENNESSEE HM, PLLC SHELBYVILLE TN $2.84M
EMERGENCY SPECIALISTS OF WELLINGTON LLC WELLINGTON FL $2.61M
APP OF EAST TENNESSEE ED PLLC POWELL TN $2.26M
SAN JACINTO EMERGENCY PHYSICIANS PLLC BAYTOWN TX $2.17M
WOODLAND'S EMERGENCY PHYSICIANS, PLLC SHENANDOAH TX $2.11M
TOWN SQUARE EMERGENCY ASSOCIATES PLLC AMARILLO TX $1.97M
CAPITAL EMERGENCY PHYSICIANS PLLC FLOWOOD MS $1.44M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 100,860 $5.09M
2019 84,438 $4.89M
2020 37,418 $3.36M
2021 60,276 $5.64M
2022 76,527 $7.04M
2023 43,508 $4.25M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 128,555 122,538 $14.77M
99284 Emergency department visit for the evaluation and management, high severity 128,466 123,610 $11.01M
99283 Emergency department visit for the evaluation and management, moderate severity 77,357 75,111 $3.87M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,068 2,962 $458K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 22,954 19,635 $125K
99053 26,638 23,890 $21K
99292 27 25 $4K
99282 Emergency department visit for the evaluation and management, low to moderate severity 51 51 $2K
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 6,371 5,886 $0.04
G8783 Normal blood pressure reading documented, follow-up not required 3,607 3,343 $0.01
G9744 Patient not eligible due to active diagnosis of hypertension 4,436 4,034 $0.01
3210F 147 131 $0.00
4120F 12 12 $0.00
G8709 Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne) 14 13 $0.00
G8711 Prescribed antibiotic on or within 3 days after the episode date 84 76 $0.00
G8708 Patient not prescribed antibiotic 397 367 $0.00
G9745 Documented reason for not screening or recommending a follow-up for high blood pressure 830 757 $0.00
G9530 Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider 13 12 $0.00