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

Grenville Machado M.D.,Inc

Grenville Machado M.D.,Inc was paid $229K by Medicaid between Jan 2018 and Dec 2021, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.

33Billing provider infoGRENVILLE MACHADO M.D.,INC
COPLEY, OH 44321
33aNPI1376649483assigned 09/15/2006
28Total paid$229K
24GClaims5,416
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers

Next to other Family Medicine Physician providers in Ohio

Rank by total paid#156 of 739
Median peer was paid$30K
This provider vs. median7.7×

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$5.0K$10K2018201920202021202220232024
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
20182,099$88K
20191,879$83K
2020825$33K
2021613$25K
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 71% 4,195 3,794 $162K
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 22% 843 786 $51K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 4.8% 169 165 $11K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.7% 66 65 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 74 67 $1K
90658 <1% 69 66 $423.47

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 officialMACHADO, GRENVILLE (PRESIDENT)