Grajales, Benjamin

Grajales, Benjamin was paid $30K by Medicaid between Mar 2018 and May 2023, across 3 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 76% of everything it billed.

33Billing provider infoGRAJALES, BENJAMIN
LEOMINSTER, MA 01453

33aNPI1427097419assigned 06/05/2006

33bProvider typeSurgery Physician

28Total paid$30K

24GClaims485

24DCodes billed3

24AFirst – last monthMar 2018 – May 2023

Compared with peers

Next to other Surgery Physician providers in Massachusetts

Rank by total paid#20 of 76

Median peer was paid$6K

This provider vs. median5.1×

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	71	$4K
2019	136	$8K
2020	78	$5K
2021	118	$7K
2022	12	$927.85
2023	70	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	76%	347	347	$23K
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%	124	121	$6K
99222	Initial hospital care, per day, moderate complexity	2.7%	14	13	$805.09

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.