NP / PA
Grace Medical Consult
Grace Medical Consult was paid $190K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoGRACE MEDICAL CONSULT
IRVINGTON, NJ 07111
IRVINGTON, NJ 07111
33aNPI1104370915assigned 08/09/2016
33bProvider typePsychiatric/Mental Health Nurse Practitioner
28Total paid$190K
24GClaims11,425
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychiatric/Mental Health Nurse Practitioner providers in New Jersey
Rank by total paid#21 of 77
Median peer was paid$44K
This provider vs. median4.3×
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 | |
|---|---|---|---|
| 2018 | 261 | $4K | |
| 2019 | 1,742 | $31K | |
| 2020 | 2,525 | $31K | |
| 2021 | 2,240 | $25K | |
| 2022 | 1,711 | $14K | |
| 2023 | 831 | $8K | |
| 2024incomplete | 2,115 | $77K |
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 | 30% | 4,218 | 3,757 | $57K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 24% | 3,092 | 2,837 | $46K |
| 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 | 21% | 1,437 | 1,191 | $39K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 14% | 107 | 86 | $26K |
| 99354 | 9.4% | 2,274 | 2,081 | $18K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.1% | 176 | 171 | $4K |
| 90887 | <1% | 93 | 72 | $240.03 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 28 | 26 | $99.27 |
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 officialADEFOWOJU, ADEWALE (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Grace Medical Care | Hoboken, NJ | $555.43 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.