Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › RALEIGH › GRACE KLINIC, LLC

GRACE KLINIC, LLC

NPI: 1164969168 · RALEIGH, NC 27615 · Medical Physician Assistant · NPI assigned 01/27/2017

$9K
Total Medicaid Paid
93
Total Claims
81
Beneficiaries
2
Codes Billed
2018-06
First Month
2018-08
Last Month

Provider Details

Authorized OfficialOKHIHAN, EDDYSON (CEO)
NPI Enumeration Date01/27/2017

Related Entities

Other providers sharing the same authorized official: OKHIHAN, EDDYSON

ProviderCityStateTotal Paid
GRACE BEHAVIORAL HEALTH CENTER HOUSTON TX $3.54M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 93 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 77 69 $8K
99383 16 12 $935.04