Medicaid Provider Spending

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

APP OF NEW MEXICO ED PLLC

NPI: 1891169942 · ALBUQUERQUE, NM 87102 · Emergency Medicine Physician · NPI assigned 11/30/2015

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

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

$41.89M
Total Medicaid Paid
480,627
Total Claims
459,017
Beneficiaries
9
Codes Billed
2018-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialGRIMES, JAMES (CFO)
NPI Enumeration Date11/30/2015

Related Entities

Other providers sharing the same authorized official: GRIMES, JAMES

ProviderCityStateTotal Paid
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
CAPITAL EMERGENCY PHYSICIANS PLLC FLOWOOD MS $1.44M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 79,761 $5.36M
2019 88,636 $7.11M
2020 70,117 $6.40M
2021 76,975 $7.26M
2022 105,479 $9.72M
2023 59,659 $6.04M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 130,018 124,662 $17.10M
99284 Emergency department visit for the evaluation and management, high severity 171,285 164,128 $15.92M
99283 Emergency department visit for the evaluation and management, moderate severity 158,766 152,038 $8.55M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,285 1,210 $158K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 17,797 15,530 $106K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,398 1,377 $49K
99292 16 13 $622.86
99281 Emergency department visit for the evaluation and management, self-limited or minor 13 13 $254.10
82272 49 46 $47.76