Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NM › Gallup › NPI 1780036582
Physician

App of New Mexico HM PLLC

App of New Mexico HM PLLC was paid $844K by Medicaid between Jan 2018 and Jul 2023, across 9 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 33% of everything it billed.

33Billing provider infoAPP OF NEW MEXICO HM PLLC
GALLUP, NM 87301
33aNPI1780036582assigned 07/06/2016
28Total paid$844K
24GClaims13,949
24DCodes billed9
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers

Next to other Emergency Medicine Physician providers in New Mexico

Rank by total paid#18 of 39
Median peer was paid$669K
This provider vs. median1.3×

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$25K$50K$75K2018201920202021202220232024
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
2018136$4K
2019908$33K
20228,570$496K
20234,335$311K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 33% 4,864 2,004 $275K
99223 Prolong inpt eval add15 m 26% 1,767 1,719 $221K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 23% 4,937 2,183 $198K
99239 Hospital discharge day management, more than 30 minutes 11% 1,513 1,465 $94K
99220 2.9% 220 210 $25K
99238 Hospital discharge day management, 30 minutes or less 1.3% 316 270 $11K
99221 1.0% 135 128 $8K
99222 Initial hospital care, per day, moderate complexity <1% 113 97 $6K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 84 29 $6K

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.