Medicaid Provider Spending

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

APP OF INDIANA ED, PLLC

NPI: 1740822212 · BRENTWOOD, TN 37027 · Physician Assistant · NPI assigned 10/16/2019

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

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

$26.14M
Total Medicaid Paid
435,977
Total Claims
373,017
Beneficiaries
11
Codes Billed
2020-03
First Month
2023-07
Last Month

Provider Details

Authorized OfficialGRIMES, JAMES (CFO)
NPI Enumeration Date10/16/2019

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 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
2020 75,632 $4.14M
2021 129,196 $8.33M
2022 146,584 $8.95M
2023 84,565 $4.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 153,031 125,452 $13.14M
99284 Emergency department visit for the evaluation and management, high severity 139,807 122,965 $9.15M
99283 Emergency department visit for the evaluation and management, moderate severity 98,894 87,339 $3.47M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 42,201 35,460 $187K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,625 1,439 $187K
99282 Emergency department visit for the evaluation and management, low to moderate severity 230 213 $6K
99220 14 13 $446.95
99406 92 65 $427.84
99281 Emergency department visit for the evaluation and management, self-limited or minor 14 14 $250.38
93042 55 45 $66.15
99053 14 12 $0.00