Medicaid Provider Spending

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

NPI: 1942251244 · KALAMAZOO, MI 49048 · Emergency Medicine Physician · NPI assigned 05/12/2006

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

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

$9.76M
Total Medicaid Paid
193,803
Total Claims
176,179
Beneficiaries
28
Codes Billed
2018-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialGRIMES, JAMES (CFO)
NPI Enumeration Date05/12/2006

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
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 33,017 $1.35M
2019 31,845 $1.55M
2020 26,538 $1.45M
2021 35,036 $1.94M
2022 40,447 $2.12M
2023 26,920 $1.35M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 62,888 57,614 $3.30M
99284 Emergency department visit for the evaluation and management, high severity 57,451 52,108 $3.09M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 39,141 34,774 $2.64M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,900 2,803 $345K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,295 3,204 $177K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 20,795 18,581 $83K
12001 1,395 1,379 $35K
99281 Emergency department visit for the evaluation and management, self-limited or minor 314 304 $19K
12002 498 496 $17K
12011 495 493 $16K
71046 Radiologic examination, chest; 2 views 1,390 1,329 $12K
10061 97 96 $8K
10060 140 135 $7K
71045 Radiologic examination, chest; single view 405 395 $3K
73130 219 203 $2K
64400 101 92 $2K
73610 228 219 $1K
73630 238 231 $1K
29125 61 60 $985.17
73030 167 147 $834.22
73562 158 150 $803.48
73110 78 72 $387.04
74018 56 55 $272.60
72100 28 28 $177.52
73590 14 14 $66.50
73070 12 12 $54.72
73140 13 13 $51.48
99053 1,226 1,172 $0.00