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
MINNEAPOLIS, MN 55454
33aNPI1215354204assigned 03/27/2014
33bProvider typeInternal Medicine Physician
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
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 | 91 | $4K | |
| 2019 | 46 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.