APP OF MISSISSIPPI ED, LLC

NPI: 1730687740 · JACKSON, MS 39204 · Emergency Medicine Physician · NPI assigned 01/24/2018

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$17.00M

Total Medicaid Paid

402,986

Total Claims

311,947

Beneficiaries

Codes Billed

2018-03

First Month

2023-07

Last Month

Provider Details

Authorized Official	GRIMES, JAMES (CFO)
NPI Enumeration Date	01/24/2018

Other providers sharing the same authorized official: GRIMES, JAMES

Provider	City	State	Total Paid
APP OF NEW MEXICO ED PLLC	ALBUQUERQUE	NM	$41.89M
DEGARA APP, PLLC	LANSING	MI	$35.82M
PROGRESSIVE MEDICAL ASSOCIATES PLLC	MESA	AZ	$30.27M
APP OF TENNESSEE ED, PLLC	MARYVILLE	TN	$30.13M
APP OF INDIANA ED, PLLC	BRENTWOOD	TN	$26.14M
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

Code	Description	Claims	Beneficiaries	Total Paid
99284	Emergency department visit for the evaluation and management, high severity	163,567	122,718	$8.15M
99285	Emergency department visit for the evaluation and management, high severity with immediate threat to life	79,360	63,868	$5.18M
99283	Emergency department visit for the evaluation and management, moderate severity	122,884	95,924	$3.49M
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	2,142	1,800	$140K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	22,297	17,296	$37K
99282	Emergency department visit for the evaluation and management, low to moderate severity	182	152	$3K
99281	Emergency department visit for the evaluation and management, self-limited or minor	57	45	$328.43
G9744	Patient not eligible due to active diagnosis of hypertension	5,046	4,789	$245.98
12001		13	12	$205.80
99053		7,352	5,275	$158.38
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	14	14	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	72	54	$0.00