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

Grace Medical PC

Grace Medical PC was paid $97K by Medicaid between Jul 2020 and Nov 2024, across 10 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 31% of everything it billed.

33Billing provider infoGRACE MEDICAL PC
WORCESTER, MA 01609
33aNPI1386275444assigned 01/28/2020
33bProvider typeNephrology Physician
28Total paid$97K
24GClaims2,924
24DCodes billed10
24AFirst – last monthJul 2020 – Nov 2024
Compared with peers

Next to other Nephrology Physician providers in Massachusetts

Rank by total paid#19 of 46
Median peer was paid$28K
This provider vs. median3.5×

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$10K$15K2018201920202021202220232024
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
2020532$10K
20211,507$39K
2022439$9K
202336$204.43
2024incomplete410$39K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 31% 1,068 250 $30K
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 21% 226 197 $20K
99308 Subsequent nursing facility care, per day, straightforward 21% 1,044 588 $20K
93268 9.3% 66 66 $9K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.5% 92 84 $6K
99231 Subsequent hospital care, per day, straightforward or low complexity 6.0% 290 33 $6K
99205 Prolong outpt/office vis 2.3% 14 14 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1.5% 91 79 $1K
99442 <1% 12 12 $749.21
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 21 15 $717.48

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 officialALMASRY, INAS (PHYSICIAN)