Grimes, Lora

Grimes, Lora was paid $20K by Medicaid between Apr 2023 and Nov 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.

33Billing provider infoGRIMES, LORA
NORTHAMPTON, MA 01060

33aNPI1518907724assigned 06/07/2006

33bProvider typeFamily Medicine Physician

28Total paid$20K

24GClaims364

24DCodes billed3

24AFirst – last monthApr 2023 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Massachusetts

Rank by total paid#312 of 744

Median peer was paid$10K

This provider vs. median1.9×

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
2023	141	$5K
2024incomplete	223	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	87%	289	284	$17K
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	13%	62	59	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	13	13	$189.54

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.