Physician
Ernesto J F Graham MD PA
Ernesto J F Graham MD PA was paid $3.11M by Medicaid between Jan 2018 and Jan 2024, across 23 billing codes. Its largest line is 59400, Routine obstetric care including antepartum care, vaginal delivery, and postpartum care — 61% of everything it billed.
33Billing provider infoERNESTO J F GRAHAM MD PA
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
33aNPI1528161668assigned 09/06/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$3.11M
24GClaims83,977
24DCodes billed23
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in North Carolina
Rank by total paid#11 of 189
Median peer was paid$47K
This provider vs. median67×
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 | 7,755 | $430K | |
| 2019 | 9,249 | $548K | |
| 2020 | 9,447 | $682K | |
| 2021 | 23,942 | $693K | |
| 2022 | 28,040 | $739K | |
| 2023 | 5,461 | $14K | |
| 2024incomplete | 83 | $212.50 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 61% | 1,666 | 1,302 | $1.88M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 8,407 | 6,289 | $358K |
| 59510 | 7.8% | 248 | 181 | $242K | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 5.1% | 1,487 | 1,240 | $160K |
| 76830 | Ultrasound, transvaginal | 3.4% | 1,714 | 1,290 | $106K |
| 99199 | Unlisted special service, procedure or report | 2.2% | 20,459 | 19,494 | $68K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 1.6% | 1,494 | 1,072 | $50K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 1,561 | 1,268 | $41K |
| 59025 | Fetal non-stress test | 1.2% | 2,277 | 1,212 | $37K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 340 | 236 | $33K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 487 | 446 | $29K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,256 | 1,720 | $29K |
11 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 374 | $25K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 413 | $21K |
| 81025 | <1% | 2,888 | $17K | |
| 81003 | <1% | 7,452 | $3K | |
| 81002 | <1% | 1,481 | $3K | |
| 11981 | <1% | 17 | $1K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 15 | $305.49 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 127 | $0.64 |
| 99024 | 0% | 20,534 | $0.00 | |
| 0503F | 0% | 329 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 7,951 | $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 officialGRAHAM, ERNESTO (PHYSICIAN)