Medicaid Provider Spending

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

ST. MARYGRACE FAMILY PRACTICE, LLC

NPI: 1639301732 · OPELOUSAS, LA 70570 · Family Medicine Physician · NPI assigned 08/23/2009

$184K
Total Medicaid Paid
53,617
Total Claims
46,536
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTINUBU, ADENIKE (OWNER / OPERATOR / PHYSICIAN)
NPI Enumeration Date08/23/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,066 $30K
2019 9,718 $40K
2020 8,004 $41K
2021 8,132 $22K
2022 9,514 $30K
2023 5,554 $11K
2024 2,629 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,165 9,119 $154K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,935 1,771 $24K
82962 4,645 3,904 $2K
90756 588 539 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 62 59 $808.50
99215 Prolong outpt/office vis 119 107 $769.67
99406 450 364 $381.84
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 18 12 $85.47
80305 62 60 $23.96
G8420 Bmi is documented within normal parameters and no follow-up plan is required 2,258 1,962 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 1,399 1,247 $0.00
3079F 971 791 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 6,386 5,632 $0.00
3074F 1,737 1,389 $0.00
3080F 625 557 $0.00
G0008 Administration of influenza virus vaccine 513 473 $0.00
3075F 378 296 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 80 77 $0.00
3044F 17 16 $0.00
3078F 1,731 1,397 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 3,191 2,794 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 4,778 4,248 $0.00
3077F 1,314 1,119 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 10,174 8,583 $0.00
90661 21 20 $0.00