Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › GALLUP › APP OF NEW MEXICO HM PLLC

APP OF NEW MEXICO HM PLLC

NPI: 1780036582 · GALLUP, NM 87301 · Emergency Medicine Physician · NPI assigned 07/06/2016

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

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

$844K
Total Medicaid Paid
13,949
Total Claims
8,105
Beneficiaries
9
Codes Billed
2018-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialGRIMES, JAMES (CFO)
NPI Enumeration Date07/06/2016

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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 136 $4K
2019 908 $33K
2022 8,570 $496K
2023 4,335 $311K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 4,864 2,004 $275K
99223 Prolong inpt eval add15 m 1,767 1,719 $221K
99232 Subsequent hospital care, per day, moderate complexity 4,937 2,183 $198K
99239 Hospital discharge day management, more than 30 minutes 1,513 1,465 $94K
99220 220 210 $25K
99238 Hospital discharge day management, 30 minutes or less 316 270 $11K
99221 135 128 $8K
99222 Initial hospital care, per day, moderate complexity 113 97 $6K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 84 29 $6K