Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GRACE DERMATOLOGY & MICROGRAPHIC SURGERY LLC

NPI: 1184973828 · LEBANON, OR 97355 · Medical Specialty Clinic/Center · NPI assigned 09/07/2012

$6K
Total Medicaid Paid
96
Total Claims
93
Beneficiaries
2
Codes Billed
2020-06
First Month
2024-09
Last Month

Provider Details

Authorized OfficialHORNER, KYLE (OWNER)
NPI Enumeration Date09/07/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 40 $2K
2023 29 $2K
2024 27 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 56 55 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 40 38 $2K