Physician
Grapevine Clinic LLC
Grapevine Clinic LLC was paid $9K by Medicaid between Jan 2020 and May 2022, across 1 billing code. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.
33Billing provider infoGRAPEVINE CLINIC LLC
FORT MOHAVE, AZ 86426
FORT MOHAVE, AZ 86426
33aNPI1164731030assigned 09/27/2010
33bProvider typeFamily Medicine Physician
28Total paid$9K
24GClaims150
24DCodes billed1
24AFirst – last monthJan 2020 – May 2022
Compared with peers
Next to other Family Medicine Physician providers in Arizona
Rank by total paid#332 of 442
Median peer was paid$77K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 83 | $5K | |
| 2021 | 53 | $3K | |
| 2022 | 14 | $1K |
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 | 100% | 150 | 136 | $9K |
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 officialCUNNINGHAM, KAYE (OWNER/MEMBER)