Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Grace, James

Grace, James was paid $6K by Medicaid between Aug 2018 and Mar 2019, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.

33Billing provider infoGRACE, JAMES
MINNEAPOLIS, MN 55454
33aNPI1215354204assigned 03/27/2014
28Total paid$6K
24GClaims137
24DCodes billed2
24AFirst – last monthAug 2018 – Mar 2019
Compared with peers

Next to other Internal Medicine Physician providers in Minnesota

Rank by total paid#35 of 57
Median peer was paid$14K
This provider vs. median0.4×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
201891$4K
201946$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 86% 124 122 $5K
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 14% 13 12 $772.20

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.