Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GRAY FAMILY PRACTICE CLINIC, PLLC

NPI: 1558629170 · MELBOURNE, AR 72556 · Family Medicine Physician · NPI assigned 05/02/2012

$98K
Total Medicaid Paid
5,321
Total Claims
4,843
Beneficiaries
20
Codes Billed
2018-01
First Month
2019-12
Last Month

Provider Details

Authorized OfficialGRAY, ADAM (OWNER)
NPI Enumeration Date05/02/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,350 $47K
2019 2,971 $51K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,073 989 $31K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 914 825 $21K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 405 391 $20K
99308 Subsequent nursing facility care, per day, straightforward 656 567 $14K
99309 Subsequent nursing facility care, per day, low to moderate complexity 233 205 $7K
99307 296 245 $4K
90756 88 84 $672.01
90688 100 82 $549.23
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 31 31 $323.70
36415 Collection of venous blood by venipuncture 91 87 $136.00
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 91 81 $118.40
G8754 Most recent diastolic blood pressure < 90 mmhg 94 84 $0.00
G0008 Administration of influenza virus vaccine 86 85 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 121 115 $0.00
D1320 217 206 $0.00
1036F 77 71 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 94 84 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 530 492 $0.00
G8482 Influenza immunization administered or previously received 104 100 $0.00
96160 20 19 $0.00