WABOMNOR, GRACE
NPI: 1548725799
· SOUTH HOLLAND, IL 60473
· Adult Health Nurse Practitioner
· NPI assigned 02/01/2019
$609K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
633 |
$123K |
| 2022 |
966 |
$242K |
| 2023 |
997 |
$244K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,526 |
2,315 |
$596K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
36 |
$13K |