Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GRUFT, JAMES

NPI: 1417173865 · OAKBROOK TERRACE, IL 60181 · Pain Medicine Physician · NPI assigned 04/17/2007

$14K
Total Medicaid Paid
3,311
Total Claims
2,680
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 253 $2K
2019 592 $2K
2020 612 $909.30
2021 369 $2K
2022 439 $3K
2023 352 $1K
2024 694 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,252 1,842 $13K
96127 653 511 $787.84
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 151 134 $608.77
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 136 100 $149.27
99490 Ccm add 20min 53 40 $142.08
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 66 53 $0.00