Physician
Grace Pediatric Clinic, P.A.
Grace Pediatric Clinic, P.A. was paid $3.20M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 25% of everything it billed.
33Billing provider infoGRACE PEDIATRIC CLINIC, P.A.
CHARLOTTE, NC 28208
CHARLOTTE, NC 28208
33aNPI1447307384assigned 01/04/2007
33bProvider typePediatrics Physician
28Total paid$3.20M
24GClaims218,145
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#116 of 433
Median peer was paid$942K
This provider vs. median3.4×
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 | 22,131 | $716K | |
| 2019 | 19,324 | $648K | |
| 2020 | 12,148 | $367K | |
| 2021 | 26,396 | $399K | |
| 2022 | 44,769 | $492K | |
| 2023 | 39,627 | $218K | |
| 2024incomplete | 53,750 | $358K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 25% | 135,798 | 83,504 | $805K |
| 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 | 15% | 5,098 | 4,684 | $468K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.9% | 4,624 | 4,119 | $286K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 8.3% | 1,031 | 255 | $265K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 2,425 | 2,168 | $213K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.2% | 2,101 | 1,808 | $198K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 5.8% | 896 | 837 | $186K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 1,237 | 1,162 | $109K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.1% | 3,223 | 2,841 | $98K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.9% | 4,877 | 4,229 | $92K |
| 99442 | 2.5% | 1,677 | 1,327 | $81K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.5% | 9,442 | 8,350 | $79K |
52 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 3,753 | $51K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 3,661 | $49K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 6,137 | $48K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.2% | 316 | $39K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 378 | $31K |
| 92552 | <1% | 5,820 | $14K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 863 | $13K |
| 81025 | <1% | 1,525 | $10K | |
| 99443 | <1% | 121 | $9K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 241 | $8K |
| 92567 | <1% | 618 | $8K | |
| 81002 | <1% | 5,576 | $8K | |
| 99401 | <1% | 226 | $7K | |
| 93000 | <1% | 347 | $5K | |
| 99441 | <1% | 150 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 194 | $3K |
| 99381 | <1% | 26 | $2K | |
| 99070 | <1% | 193 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 155 | $2K |
| 94010 | <1% | 59 | $1K | |
| 90474 | <1% | 55 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 415 | $1K |
| 99051 | <1% | 39 | $981.71 | |
| 96127 | <1% | 168 | $883.37 | |
| 87428 | <1% | 16 | $635.90 | |
| 99173 | <1% | 5,850 | $511.67 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $318.39 |
| 95117 | <1% | 19 | $153.76 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 32 | $40.89 |
| 90715 | <1% | 448 | $0.03 | |
| 90649 | <1% | 405 | $0.03 | |
| 90734 | <1% | 749 | $0.03 | |
| 90716 | <1% | 518 | $0.01 | |
| 90744 | <1% | 276 | $0.01 | |
| 90707 | <1% | 517 | $0.01 | |
| 90633 | <1% | 510 | $0.01 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 598 | $0.00 |
| 90686 | 0% | 337 | $0.00 | |
| 90651 | 0% | 592 | $0.00 | |
| 90619 | 0% | 107 | $0.00 | |
| 90696 | 0% | 59 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 192 | $0.00 |
| 90680 | 0% | 56 | $0.00 | |
| 90698 | 0% | 14 | $0.00 | |
| 91307 | 0% | 24 | $0.00 | |
| 90713 | 0% | 888 | $0.00 | |
| 90700 | 0% | 1,082 | $0.00 | |
| 90670 | 0% | 651 | $0.00 | |
| 90621 | 0% | 71 | $0.00 | |
| 90648 | 0% | 487 | $0.00 | |
| 90710 | 0% | 153 | $0.00 | |
| 1160F | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialTOKUNBOH, JULIUS (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Central Pediatrics & Internal Medicine, PA | Charlotte, NC | $3.19M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.