Grace, Carol

Grace, Carol was paid $29K by Medicaid between Apr 2019 and Jun 2020, across 3 billing codes. Its largest line is 99283, emergency room visit (moderate) — 68% of everything it billed.

33Billing provider infoGRACE, CAROL
RAMONA, CA 92065

33aNPI1649234139assigned 04/13/2006

33bProvider typeFamily Medicine Physician

28Total paid$29K

24GClaims618

24DCodes billed3

24AFirst – last monthApr 2019 – Jun 2020

Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#1,012 of 2,511

Median peer was paid$13K

This provider vs. median2.2×

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
2019	432	$20K
2020	186	$9K

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	68%	511	497	$19K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	21%	57	56	$6K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	12%	50	50	$3K

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.