Clinic
Grace Pediatrics PC
Grace Pediatrics PC was paid $2.27M by Medicaid between Jan 2023 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoGRACE PEDIATRICS PC
PONTIAC, MI 48341
PONTIAC, MI 48341
33aNPI1003482019assigned 06/01/2021
33bProvider typePrimary Care Clinic/Center
28Total paid$2.27M
24GClaims58,210
24DCodes billed50
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Michigan
Rank by total paid#13 of 113
Median peer was paid$164K
This provider vs. median14×
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.
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 | |
|---|---|---|---|
| 2023 | 28,174 | $1.09M | |
| 2024incomplete | 30,036 | $1.18M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 14,164 | 12,773 | $1.09M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 2,656 | 2,656 | $237K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.9% | 2,483 | 2,479 | $224K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.2% | 1,723 | 1,709 | $141K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.5% | 1,276 | 1,276 | $125K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.6% | 2,967 | 2,955 | $104K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.4% | 4,602 | 4,566 | $78K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.7% | 1,841 | 1,810 | $62K |
| 99381 | 2.2% | 527 | 527 | $50K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.5% | 310 | 306 | $34K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 1,722 | 853 | $23K |
| 99383 | <1% | 223 | 223 | $22K |
38 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,640 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,265 | $17K |
| 96127 | <1% | 2,155 | $11K | |
| 99382 | <1% | 97 | $10K | |
| 99384 | <1% | 83 | $9K | |
| 85018 | <1% | 4,636 | $9K | |
| 83655 | <1% | 841 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 41 | $2K |
| 96380 | <1% | 67 | $2K | |
| 81002 | <1% | 240 | $660.35 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 126 | $651.28 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 45 | $41.40 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 79 | $4.12 |
| 99173 | 0% | 2,508 | $0.00 | |
| 90670 | 0% | 599 | $0.00 | |
| 90633 | 0% | 966 | $0.00 | |
| 90700 | 0% | 426 | $0.00 | |
| 90715 | 0% | 271 | $0.00 | |
| 90671 | 0% | 981 | $0.00 | |
| 90648 | 0% | 107 | $0.00 | |
| 90710 | 0% | 444 | $0.00 | |
| 90707 | 0% | 468 | $0.00 | |
| 90380 | 0% | 31 | $0.00 | |
| 90696 | 0% | 411 | $0.00 | |
| 90716 | 0% | 463 | $0.00 | |
| 90619 | 0% | 482 | $0.00 | |
| 90680 | 0% | 834 | $0.00 | |
| 90698 | 0% | 1,028 | $0.00 | |
| 90620 | 0% | 126 | $0.00 | |
| 90647 | 0% | 232 | $0.00 | |
| 90686 | 0% | 366 | $0.00 | |
| 90744 | 0% | 749 | $0.00 | |
| 90656 | 0% | 219 | $0.00 | |
| 90651 | 0% | 540 | $0.00 | |
| 90381 | 0% | 24 | $0.00 | |
| 90697 | 0% | 17 | $0.00 | |
| 90688 | 0% | 81 | $0.00 | |
| 90723 | 0% | 28 | $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 officialPULLUKAT, ROY (OWNER)