Physician
Kalamazoo Emergency Associates, PLC
Kalamazoo Emergency Associates, PLC was paid $9.76M by Medicaid between Jan 2018 and Jul 2023, across 28 billing codes. Its largest line is 99283, emergency room visit (moderate) — 34% of everything it billed.
33Billing provider infoKALAMAZOO EMERGENCY ASSOCIATES, PLC
KALAMAZOO, MI 49048
KALAMAZOO, MI 49048
33aNPI1942251244assigned 05/12/2006
33bProvider typeEmergency Medicine Physician
28Total paid$9.76M
24GClaims193,803
24DCodes billed28
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Emergency Medicine Physician providers in Michigan
Rank by total paid#15 of 248
Median peer was paid$57K
This provider vs. median172×
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
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
| Year | Claims | 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 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 34% | 62,888 | 57,614 | $3.30M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 32% | 57,451 | 52,108 | $3.09M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 27% | 39,141 | 34,774 | $2.64M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.5% | 2,900 | 2,803 | $345K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.8% | 3,295 | 3,204 | $177K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 20,795 | 18,581 | $83K |
| 12001 | <1% | 1,395 | 1,379 | $35K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 314 | 304 | $19K |
| 12002 | <1% | 498 | 496 | $17K | |
| 12011 | <1% | 495 | 493 | $16K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,390 | 1,329 | $12K |
| 10061 | <1% | 97 | 96 | $8K |
16 more codes
| 10060 | <1% | 140 | $7K | |
| 71045 | Radiologic examination, chest; single view | <1% | 405 | $3K |
| 73130 | <1% | 219 | $2K | |
| 64400 | <1% | 101 | $2K | |
| 73610 | <1% | 228 | $1K | |
| 73630 | <1% | 238 | $1K | |
| 29125 | <1% | 61 | $985.17 | |
| 73030 | <1% | 167 | $834.22 | |
| 73562 | <1% | 158 | $803.48 | |
| 73110 | <1% | 78 | $387.04 | |
| 74018 | <1% | 56 | $272.60 | |
| 72100 | <1% | 28 | $177.52 | |
| 73590 | <1% | 14 | $66.50 | |
| 73070 | <1% | 12 | $54.72 | |
| 73140 | <1% | 13 | $51.48 | |
| 99053 | 0% | 1,226 | $0.00 |
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)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.