Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KS › WICHITA › GRACEMED HEALTH CLINIC INC

GRACEMED HEALTH CLINIC INC

NPI: 1184691693 · WICHITA, KS 67214 · Federally Qualified Health Center (FQHC) · NPI assigned 03/02/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ELDER, JULIE controls 15+ related entities in our dataset. Read more

$18.33M
Total Medicaid Paid
307,365
Total Claims
248,508
Beneficiaries
91
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialELDER, JULIE (CEO)
NPI Enumeration Date03/02/2006

Related Entities

Other providers sharing the same authorized official: ELDER, JULIE

ProviderCityStateTotal Paid
GRACEMED HEALTH CLINIC, INC WICHITA KS $3.37M
GRACEMED HEALTH CLINIC, INC WICHITA KS $2.68M
GRACEMED HEALTH CLINIC, INC TOPEKA KS $2.24M
GRACEMED HEALTH CLINIC, INC WICHITA KS $2.09M
GRACEMED HEALTH CLINIC, INC WICHITA KS $1.85M
GRACEMED HEALTH CLINIC, INC WICHITA KS $1.53M
GRACEMED HEALTH CLINIC, INC WICHITA KS $1.38M
GRACEMED HEALTH CLINIC, INC TOPEKA KS $1.36M
GRACEMED HEALTH CLINIC, INC WICHITA KS $1.28M
GRACEMED HEALTH CLINIC, INC WICHITA KS $1.03M
GRACEMED HEALTH CLINIC, INC WICHITA KS $981K
GRACEMED HEALTH CLINIC, INC WICHITA KS $830K
GRACEMED HEALTH CLINIC, INC WICHITA KS $745K
GRACEMED HEALTH CLINIC, INC CLEARWATER KS $406K
GRACEMED HEALTH CLINIC, INC MCPHERSON KS $215K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41,570 $3.10M
2019 73,779 $4.47M
2020 54,341 $3.04M
2021 59,228 $3.07M
2022 32,529 $1.90M
2023 25,593 $1.45M
2024 20,325 $1.29M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28,216 25,123 $3.64M
D1206 Topical application of fluoride varnish 41,715 40,662 $2.19M
D1120 Prophylaxis - child 13,684 13,373 $1.87M
D1110 Prophylaxis - adult 14,299 13,857 $1.74M
D0330 Panoramic radiographic image 10,701 10,317 $1.21M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,620 7,927 $1.05M
D0150 Comprehensive oral evaluation - new or established patient 9,610 9,278 $646K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,891 3,684 $614K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,344 3,286 $587K
D0120 Periodic oral evaluation - established patient 6,714 6,466 $569K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,985 2,906 $524K
D7140 Extraction, erupted tooth or exposed root 6,336 2,973 $482K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,340 2,311 $409K
D0140 Limited oral evaluation - problem focused 4,038 3,805 $384K
D0220 Intraoral - periapical first radiographic image 21,725 20,526 $295K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,711 1,391 $226K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,528 1,457 $217K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,070 1,041 $188K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,656 1,256 $183K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,123 1,059 $172K
90832 Psychotherapy, 30 minutes with patient 987 936 $142K
99383 683 668 $117K
D1351 Sealant - per tooth 12,342 2,603 $103K
D9999 Unspecified adjunctive procedure, by report 235 192 $97K
99384 449 436 $76K
99382 413 408 $70K
D0274 Bitewings - four radiographic images 11,604 11,197 $63K
D0272 Bitewings - two radiographic images 2,755 2,641 $48K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 281 268 $48K
D0270 798 713 $38K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 261 210 $36K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 240 226 $33K
99381 161 160 $27K
D7250 420 215 $25K
D9222 52 37 $21K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 73 72 $21K
D4341 213 145 $20K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 52 37 $17K
D1354 1,720 1,565 $16K
D9610 52 37 $16K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 100 98 $14K
D0230 Intraoral - periapical each additional radiographic image 49,257 15,962 $13K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 4,731 3,662 $12K
D2331 59 51 $8K
S0311 Comprehensive management and care coordination for advanced illness, per calendar month 40 36 $7K
D2330 66 42 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 35 35 $6K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 51 44 $6K
S0621 Routine ophthalmological examination including refraction; established patient 107 91 $5K
D4355 299 295 $4K
D4910 29 29 $4K
90651 1,668 1,633 $3K
92002 12 12 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 25 25 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 7,512 7,357 $1K
G9148 National committee for quality assurance - level 1 medical home 40 36 $934.74
90620 922 914 $553.19
0012A 382 382 $490.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 268 262 $364.18
0011A 445 443 $242.90
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 777 736 $92.37
81025 752 729 $39.75
82948 1,127 1,042 $11.47
81003 2,132 2,053 $9.00
11721 20 19 $8.67
90686 3,501 3,423 $0.02
90734 1,422 1,396 $0.00
90461 4,131 4,060 $0.00
90670 1,051 1,038 $0.00
90700 508 501 $0.00
90633 871 864 $0.00
90685 376 374 $0.00
90710 587 578 $0.00
92015 Determination of refractive state 961 918 $0.00
90715 811 795 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 727 710 $0.00
90707 126 126 $0.00
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 157 138 $0.00
S0221 Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 60 minutes 28 24 $0.00
86318 25 23 $0.00
G9149 National committee for quality assurance - level 2 medical home 16 12 $0.00
0013A 106 106 $0.00
90680 305 300 $0.00
90744 508 500 $0.00
90698 814 802 $0.00
90696 104 102 $0.00
36415 Collection of venous blood by venipuncture 98 88 $0.00
90619 94 94 $0.00
86580 33 32 $0.00
93000 25 25 $0.00
90716 27 27 $0.00