Medicaid Provider Spending

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

APP OF FLORIDA HM, LLC

NPI: 1841772316 · MILTON, FL 32570 · Hospitalist Physician · NPI assigned 08/31/2018

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

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

$135K
Total Medicaid Paid
8,208
Total Claims
3,741
Beneficiaries
8
Codes Billed
2019-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialGRIMES, JAMES (CFO)
NPI Enumeration Date08/31/2018

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
2019 2,845 $45K
2020 2,907 $45K
2021 1,043 $14K
2022 873 $17K
2023 540 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 5,009 1,585 $63K
99223 Prolong inpt eval add15 m 787 575 $37K
99239 Hospital discharge day management, more than 30 minutes 1,650 1,212 $25K
99220 65 51 $4K
99222 Initial hospital care, per day, moderate complexity 91 70 $3K
99232 Subsequent hospital care, per day, moderate complexity 508 178 $2K
99238 Hospital discharge day management, 30 minutes or less 82 57 $566.06
99217 16 13 $105.11