Physician
Graves, Gretchen
Graves, Gretchen was paid $668K by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
33Billing provider infoGRAVES, GRETCHEN
PITTSBURG, CA 94565
PITTSBURG, CA 94565
33aNPI1306862040assigned 07/14/2006
33bProvider typePediatrics Physician
28Total paid$668K
24GClaims21,331
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#179 of 1,490
Median peer was paid$15K
This provider vs. median45×
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 | 3,985 | $68K | |
| 2019 | 4,304 | $126K | |
| 2020 | 2,829 | $80K | |
| 2021 | 3,006 | $90K | |
| 2022 | 2,968 | $102K | |
| 2023 | 2,323 | $83K | |
| 2024incomplete | 1,916 | $121K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 64% | 4,493 | 4,291 | $426K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 8.4% | 5,311 | 2,778 | $56K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.1% | 2,925 | 2,523 | $48K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.1% | 460 | 449 | $34K |
| 92552 | 3.7% | 1,889 | 1,886 | $25K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 697 | 687 | $25K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 551 | 551 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 383 | 382 | $21K |
| 99173 | <1% | 1,880 | 1,878 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 71 | 71 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 12 | 12 | $710.37 |
| 0071A | <1% | 17 | 17 | $680.00 |
18 more codes
| 0072A | <1% | 13 | $520.00 | |
| 90686 | <1% | 1,279 | $405.11 | |
| 90688 | <1% | 148 | $46.84 | |
| 90651 | 0% | 149 | $0.00 | |
| 90647 | 0% | 167 | $0.00 | |
| 90619 | 0% | 14 | $0.00 | |
| 90656 | 0% | 21 | $0.00 | |
| 90723 | 0% | 12 | $0.00 | |
| 91307 | 0% | 16 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 370 | $0.00 |
| 90734 | 0% | 126 | $0.00 | |
| 90670 | 0% | 177 | $0.00 | |
| 90715 | 0% | 45 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 90710 | 0% | 38 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 90685 | 0% | 12 | $0.00 | |
| 90461 | 0% | 31 | $0.00 |
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.