Duarte, Grace

Duarte, Grace was paid $65K by Medicaid between Feb 2018 and May 2024, across 4 billing codes. Its largest line is 99283, emergency room visit (moderate) — 42% of everything it billed.

33Billing provider infoDUARTE, GRACE
HAMMOND, IN 46320

33aNPI1518952043assigned 09/12/2005

33bProvider typeEmergency Medicine Physician

28Total paid$65K

24GClaims1,558

24DCodes billed4

24AFirst – last monthFeb 2018 – May 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Indiana

Rank by total paid#117 of 191

Median peer was paid$126K

This provider vs. median0.5×

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

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	225	$6K
2019	525	$19K
2020	377	$15K
2021	349	$19K
2022	14	$518.18
2023	16	$1K
2024incomplete	52	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	42%	851	768	$28K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	31%	405	367	$20K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	25%	251	219	$17K
99282	Emergency department visit for the evaluation and management, low to moderate severity	1.8%	51	50	$1K

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.