Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Acute Care Specialists

Acute Care Specialists was paid $5.94M by Medicaid between Jan 2018 and Jul 2023, across 6 billing codes. Its largest line is 99284, emergency room visit (serious) — 44% of everything it billed.

33Billing provider infoACUTE CARE SPECIALISTS
LONGVIEW, TX 75601
33aNPI1740655273assigned 12/09/2015
33bProvider typePhysician Assistant
28Total paid$5.94M
24GClaims127,469
24DCodes billed6
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers

Next to other Physician Assistant providers in Texas

Rank by total paid#10 of 161
Median peer was paid$43K
This provider vs. median138×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GRIMES, JAMES controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20182,586$53K
20191,990$44K
20205,251$222K
202134,036$1.59M
202251,359$2.31M
202332,247$1.72M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 44% 48,816 45,347 $2.59M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 32% 42,748 41,016 $1.88M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 23% 23,342 21,859 $1.37M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 408 391 $55K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 12,098 11,031 $45K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 57 56 $2K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGRIMES, JAMES (CFO)
Same official

Other billing entities under GRIMES, JAMES

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.