GRACE FAMILY PRACTICE CLINIC, P.C.
NPI: 1083124671
· DYERSBURG, TN 38024
· 207Q00000X
$1.25M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
158 |
$4K |
| 2019 |
1,532 |
$49K |
| 2020 |
1,584 |
$50K |
| 2021 |
12,024 |
$332K |
| 2022 |
11,331 |
$320K |
| 2023 |
11,320 |
$301K |
| 2024 |
6,713 |
$194K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
14,955 |
12,847 |
$612K |
| 90460 |
|
2,920 |
2,731 |
$160K |
| 96110 |
|
4,917 |
4,449 |
$104K |
| 99391 |
|
1,668 |
1,457 |
$102K |
| 99392 |
|
1,415 |
1,332 |
$97K |
| 87880 |
|
7,096 |
6,608 |
$69K |
| 99393 |
|
407 |
390 |
$27K |
| 87804 |
|
1,522 |
702 |
$18K |
| 99394 |
|
132 |
125 |
$10K |
| 87811 |
|
269 |
249 |
$8K |
| 90677 |
|
92 |
82 |
$8K |
| 99238 |
|
92 |
90 |
$5K |
| 96372 |
|
309 |
284 |
$4K |
| 99214 |
|
72 |
62 |
$4K |
| 99460 |
|
81 |
78 |
$4K |
| 92551 |
|
399 |
380 |
$3K |
| 99173 |
|
550 |
518 |
$2K |
| 99203 |
|
35 |
28 |
$2K |
| 99381 |
|
27 |
25 |
$2K |
| 99211 |
|
156 |
148 |
$1K |
| 90651 |
|
67 |
57 |
$1K |
| 90670 |
|
1,064 |
1,013 |
$1K |
| 36415 |
|
550 |
500 |
$813.60 |
| 85025 |
|
136 |
120 |
$749.01 |
| J0696 |
Ceftriaxone sodium injection |
408 |
370 |
$730.23 |
| 90686 |
|
82 |
81 |
$651.16 |
| 90688 |
|
66 |
63 |
$441.55 |
| 90680 |
|
697 |
670 |
$323.35 |
| 90723 |
|
794 |
763 |
$298.92 |
| 90707 |
|
392 |
364 |
$203.70 |
| 90656 |
|
21 |
16 |
$181.93 |
| 90716 |
|
381 |
349 |
$166.79 |
| 81002 |
|
69 |
64 |
$126.72 |
| 90734 |
|
17 |
12 |
$111.73 |
| 90633 |
|
514 |
473 |
$99.21 |
| 90700 |
|
439 |
401 |
$84.59 |
| 90461 |
|
580 |
523 |
$58.56 |
| 90648 |
|
873 |
823 |
$54.04 |
| 90713 |
|
131 |
122 |
$43.10 |
| 90661 |
|
40 |
39 |
$23.46 |
| 96160 |
|
20 |
15 |
$0.00 |
| 99000 |
|
207 |
199 |
$0.00 |