Physician
Grady Memorial Hospital Corporation
Grady Memorial Hospital Corporation was paid $5.94M by Medicaid between Jan 2018 and Dec 2024, across 116 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoGRADY MEMORIAL HOSPITAL CORPORATION
ATLANTA, GA 30303
ATLANTA, GA 30303
33aNPI1114243813assigned 04/20/2010
33bProvider typeInternal Medicine Physician
28Total paid$5.94M
24GClaims191,685
24DCodes billed116
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Georgia
Rank by total paid#1 of 124
Median peer was paid$11K
This provider vs. median536×
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 | 37,914 | $963K | |
| 2019 | 42,968 | $1.06M | |
| 2020 | 25,783 | $643K | |
| 2021 | 31,689 | $853K | |
| 2022 | 21,035 | $753K | |
| 2023 | 22,057 | $1.04M | |
| 2024incomplete | 10,239 | $632K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 33% | 53,696 | 46,263 | $1.94M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 34,083 | 29,149 | $1.06M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 8,996 | 7,439 | $602K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 17,656 | 16,267 | $600K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.2% | 6,977 | 6,098 | $485K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.1% | 11,793 | 10,298 | $304K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 2,891 | 2,687 | $226K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 1,881 | 1,697 | $110K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 1,276 | 1,167 | $107K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.7% | 2,946 | 1,402 | $100K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 1,059 | 850 | $46K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 1,072 | 611 | $41K |
104 more codes
| 99348 | <1% | 1,145 | $39K | |
| 99283 | Emergency room visit (moderate) | <1% | 888 | $32K |
| 99223 | Prolong inpt eval add15 m | <1% | 393 | $24K |
| 99220 | <1% | 1,929 | $24K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 244 | $18K |
| 90837 | Psychotherapy session, about an hour | <1% | 163 | $14K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 848 | $14K |
| 99235 | <1% | 118 | $13K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 932 | $12K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 680 | $11K |
| 20610 | <1% | 804 | $10K | |
| 99347 | <1% | 517 | $9K | |
| 99381 | <1% | 129 | $9K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,147 | $8K |
| 99349 | <1% | 164 | $8K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 94 | $7K |
| 99219 | <1% | 704 | $6K | |
| 99342 | <1% | 112 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 175 | $5K |
| 83655 | <1% | 1,052 | $5K | |
| 99221 | <1% | 117 | $5K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 702 | $5K |
| 93016 | <1% | 432 | $4K | |
| 59430 | <1% | 42 | $3K | |
| 01961 | <1% | 18 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 29 | $3K |
| 99307 | <1% | 138 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 64 | $3K |
| 99350 | Prolong home eval add 15m | <1% | 61 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 63 | $3K |
| 99341 | <1% | 63 | $2K | |
| S9083 | Global fee urgent care centers | <1% | 35 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 24 | $2K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 167 | $2K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 21 | $2K |
| 99285 | Emergency room visit (most serious) | <1% | 12 | $1K |
| 99384 | <1% | 14 | $995.03 | |
| 99383 | <1% | 15 | $944.72 | |
| D9239 | <1% | 12 | $825.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 114 | $692.35 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 381 | $601.66 |
| 97804 | <1% | 122 | $502.98 | |
| 92250 | <1% | 52 | $479.52 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 16 | $397.98 |
| 93793 | <1% | 132 | $240.32 | |
| 90651 | <1% | 919 | $217.15 | |
| 90715 | <1% | 269 | $166.07 | |
| 91200 | <1% | 238 | $144.31 | |
| 71045 | Radiologic examination, chest; single view | <1% | 15 | $130.96 |
| 99490 | Ccm add 20min | <1% | 41 | $103.18 |
| 87210 | <1% | 58 | $97.20 | |
| 99457 | <1% | 396 | $94.50 | |
| 92002 | <1% | 13 | $78.06 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 15 | $65.55 |
| 90686 | <1% | 3,774 | $61.88 | |
| 96127 | <1% | 14 | $57.13 | |
| 90633 | <1% | 480 | $52.72 | |
| 85027 | <1% | 13 | $48.84 | |
| 99251 | <1% | 21 | $44.45 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,194 | $39.25 |
| 83020 | <1% | 129 | $32.84 | |
| 80061 | Lipid panel | <1% | 17 | $16.85 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 1,281 | $12.48 |
| 3078F | <1% | 1,834 | $0.53 | |
| 3074F | <1% | 1,195 | $0.30 | |
| 90723 | <1% | 3,634 | $0.07 | |
| 90648 | <1% | 2,355 | $0.05 | |
| 90670 | <1% | 1,716 | $0.02 | |
| 90734 | <1% | 796 | $0.01 | |
| 90620 | <1% | 207 | $0.01 | |
| 1111F | <1% | 50 | $0.01 | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 29 | $0.00 |
| 90685 | 0% | 1,256 | $0.00 | |
| 90710 | 0% | 320 | $0.00 | |
| 99442 | 0% | 1,496 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 346 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 252 | $0.00 |
| 90700 | 0% | 287 | $0.00 | |
| 3077F | 0% | 63 | $0.00 | |
| 3046F | 0% | 91 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 162 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 49 | $0.00 |
| 90681 | 0% | 25 | $0.00 | |
| 90707 | 0% | 78 | $0.00 | |
| 99497 | 0% | 156 | $0.00 | |
| 99072 | 0% | 20 | $0.00 | |
| 90621 | 0% | 12 | $0.00 | |
| 90647 | 0% | 1,531 | $0.00 | |
| 99454 | 0% | 425 | $0.00 | |
| 90680 | 0% | 2,760 | $0.00 | |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 192 | $0.00 |
| 90696 | 0% | 87 | $0.00 | |
| 99443 | 0% | 742 | $0.00 | |
| 94760 | 0% | 12 | $0.00 | |
| 99441 | 0% | 621 | $0.00 | |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 0% | 216 | $0.00 |
| 1170F | 0% | 15 | $0.00 | |
| 90716 | 0% | 106 | $0.00 | |
| 98967 | 0% | 21 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 28 | $0.00 |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 0% | 144 | $0.00 |
| 99495 | 0% | 26 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 14 | $0.00 |
| 3075F | 0% | 19 | $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 officialJEFFERSON, TIMOTHY (EXEC VP, GENERAL COUNSEL)