Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Emergigroup Physician Associates PLLC

Emergigroup Physician Associates PLLC was paid $442K by Medicaid between Jan 2018 and Jul 2023, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 65% of everything it billed.

33Billing provider infoEMERGIGROUP PHYSICIAN ASSOCIATES PLLC
HOUSTON, TX 77030
33aNPI1831142769assigned 05/19/2006
33bProvider typePhysician Assistant
28Total paid$442K
24GClaims12,718
24DCodes billed6
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers

Next to other Physician Assistant providers in Texas

Rank by total paid#49 of 161
Median peer was paid$43K
This provider vs. median10×

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$10K$20K$30K2018201920202021202220232024
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
20181,431$10K
2019892$8K
2020817$16K
20214,042$162K
20223,511$155K
20232,025$91K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 65% 5,691 5,405 $286K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 25% 1,761 1,678 $112K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 4.5% 546 521 $20K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3.2% 273 267 $14K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.1% 4,435 4,173 $9K
99406 <1% 12 12 $63.72

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.