Grave De Peralta, Jose

Grave De Peralta, Jose was paid $982.02 by Medicaid between Oct 2019 and Jun 2020, across 2 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 51% of everything it billed.

33Billing provider infoGRAVE DE PERALTA, JOSE
THOMASVILLE, GA 31792

33aNPI1033186838assigned 03/01/2006

33bProvider typePediatrics Physician

28Total paid$982.02

24GClaims31

24DCodes billed2

24AFirst – last monthOct 2019 – Jun 2020

Compared with peers

Next to other Pediatrics Physician providers in Georgia

Rank by total paid#199 of 220

Median peer was paid$57K

This provider vs. median0.0×

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
2019	12	$482.46
2020	19	$499.56

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	51%	19	12	$499.56
90460	Immunization administration through 18 years of age via any route, first or only component	49%	12	12	$482.46

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.