GRACE PEDIATRICS AND FAMILY CLINIC
NPI: 1720194376
· HOUSTON, TX 77036
· 363LF0000X
$385K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
383 |
$121.58 |
| 2019 |
333 |
$1K |
| 2020 |
1,298 |
$28K |
| 2021 |
3,173 |
$77K |
| 2022 |
4,231 |
$105K |
| 2023 |
4,793 |
$97K |
| 2024 |
3,560 |
$76K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
5,207 |
4,445 |
$171K |
| 99214 |
|
1,309 |
1,214 |
$59K |
| 99393 |
|
625 |
615 |
$49K |
| 99394 |
|
428 |
423 |
$37K |
| 90460 |
|
2,548 |
1,246 |
$27K |
| 99000 |
|
1,377 |
1,007 |
$11K |
| 99050 |
|
1,041 |
1,001 |
$11K |
| 99392 |
|
57 |
57 |
$4K |
| 99308 |
|
1,013 |
681 |
$3K |
| 87811 |
|
80 |
71 |
$2K |
| 97169 |
|
99 |
87 |
$2K |
| 87804 |
|
145 |
70 |
$2K |
| 90461 |
|
228 |
180 |
$2K |
| 99395 |
|
13 |
13 |
$938.85 |
| 87880 |
|
49 |
47 |
$679.18 |
| 99211 |
|
39 |
39 |
$436.98 |
| 0012A |
|
12 |
12 |
$280.00 |
| 90686 |
|
322 |
314 |
$148.44 |
| 0011A |
|
12 |
12 |
$82.15 |
| 96160 |
|
31 |
29 |
$34.04 |
| 97802 |
|
735 |
718 |
$30.10 |
| 90661 |
|
48 |
47 |
$20.45 |
| 91301 |
|
25 |
25 |
$0.06 |
| 90651 |
|
74 |
73 |
$0.01 |
| G0270 |
Mnt subs tx for change dx |
335 |
329 |
$0.00 |
| 90734 |
|
16 |
15 |
$0.00 |
| 90649 |
|
13 |
13 |
$0.00 |
| 36415 |
|
1,044 |
1,015 |
$0.00 |
| 3008F |
|
554 |
543 |
$0.00 |
| 96127 |
|
292 |
287 |
$0.00 |