Medicaid Provider Spending

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

NPI: 1740655273 · LONGVIEW, TX 75601 · Physician Assistant · NPI assigned 12/09/2015

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

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

$5.94M
Total Medicaid Paid
127,469
Total Claims
119,700
Beneficiaries
6
Codes Billed
2018-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialGRIMES, JAMES (CFO)
NPI Enumeration Date12/09/2015

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
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 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
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 2,586 $53K
2019 1,990 $44K
2020 5,251 $222K
2021 34,036 $1.59M
2022 51,359 $2.31M
2023 32,247 $1.72M

Billing Codes

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