Behavioral
Grayson and Associates PC
Grayson and Associates PC was paid $4.95M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 41% of everything it billed.
33Billing provider infoGRAYSON AND ASSOCIATES PC
BIRMINGHAM, AL 35209
BIRMINGHAM, AL 35209
33aNPI1194772442assigned 05/30/2006
33bProvider typeProfessional Counselor
28Total paid$4.95M
24GClaims179,204
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Alabama
Rank by total paid#2 of 81
Median peer was paid$35K
This provider vs. median140×
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 | 30,331 | $697K | |
| 2019 | 27,702 | $698K | |
| 2020 | 27,322 | $574K | |
| 2021 | 28,836 | $711K | |
| 2022 | 23,978 | $726K | |
| 2023 | 26,750 | $963K | |
| 2024incomplete | 14,285 | $581K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 41% | 102,974 | 24,419 | $2.02M |
| 99223 | Prolong inpt eval add15 m | 9.8% | 5,568 | 4,563 | $485K |
| 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 | 9.4% | 18,510 | 13,806 | $468K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 9.4% | 5,429 | 3,465 | $464K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.1% | 6,164 | 4,576 | $252K |
| 99238 | Hospital discharge day management, 30 minutes or less | 4.6% | 6,991 | 5,672 | $227K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 9,089 | 6,414 | $142K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.7% | 2,278 | 1,503 | $135K |
| 96131 | 2.2% | 1,673 | 993 | $109K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.9% | 2,825 | 1,535 | $96K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.8% | 3,235 | 2,667 | $89K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.7% | 2,313 | 1,775 | $84K |
20 more codes
| 96130 | 1.5% | 1,676 | $74K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,011 | $45K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 597 | $37K |
| 96101 | <1% | 262 | $37K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 526 | $35K |
| 96136 | <1% | 1,624 | $28K | |
| 99255 | <1% | 440 | $27K | |
| 96137 | <1% | 1,620 | $25K | |
| 99253 | <1% | 327 | $20K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,201 | $14K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,349 | $13K |
| 90785 | <1% | 1,014 | $11K | |
| 99254 | <1% | 55 | $5K | |
| 99252 | <1% | 25 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 66 | $1K |
| 90870 | <1% | 50 | $1K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 125 | $943.14 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 109 | $390.47 |
| 99305 | <1% | 14 | $133.44 | |
| 99441 | <1% | 64 | $108.76 |
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 officialLUCAS, JOSEPH (AUTHORIZED OFFICIAL)