Medicaid Provider Spending

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

GRACE PEDIATRICS PL

NPI: 1720362429 · LAKE CITY, FL 32055 · Pediatric Nurse Practitioner · NPI assigned 09/29/2011

$3.24M
Total Medicaid Paid
111,234
Total Claims
100,882
Beneficiaries
60
Codes Billed
2019-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHOMPSON, COLLEEN (MANAGER/ARNP/CO-OWNER)
NPI Enumeration Date09/29/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 19,049 $488K
2020 15,564 $429K
2021 19,000 $537K
2022 22,150 $581K
2023 19,325 $606K
2024 16,146 $598K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29,355 24,150 $1.17M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,786 8,113 $500K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,465 4,366 $411K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,397 3,250 $280K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,702 2,624 $221K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,460 5,076 $165K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,348 1,323 $118K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 702 665 $108K
90460 Immunization administration through 18 years of age via any route, first or only component 7,377 7,134 $58K
99381 550 494 $38K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,108 1,078 $37K
99215 Prolong outpt/office vis 367 271 $30K
99188 3,087 3,003 $17K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 886 849 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,968 2,776 $13K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,083 1,577 $12K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 291 272 $5K
81002 5,124 4,898 $4K
83655 902 874 $4K
92587 321 309 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 40 38 $3K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 27 26 $2K
85018 2,984 2,891 $2K
H0049 Alcohol and/or drug screening 98 97 $2K
0240U 14 12 $2K
83718 845 816 $2K
90670 1,636 1,568 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 400 379 $1K
90461 3,889 3,517 $1K
96160 1,685 1,604 $993.00
82465 775 750 $981.25
90671 125 121 $889.86
90473 312 295 $600.00
0072A 14 13 $560.00
87807 213 200 $540.41
90710 129 125 $515.61
87428 36 33 $504.16
0071A 12 12 $320.00
90700 919 888 $235.00
90686 436 426 $217.97
69209 12 12 $194.90
90723 1,001 958 $175.00
90681 620 588 $150.00
81025 41 39 $105.60
90715 12 12 $100.00
90647 1,359 1,305 $60.00
90633 1,063 1,022 $60.00
99173 4,451 3,960 $47.78
92551 4,341 3,824 $35.86
90696 77 72 $20.00
99177 998 833 $5.14
90651 281 265 $0.00
90680 96 94 $0.00
90716 88 85 $0.00
90656 16 16 $0.00
90688 231 229 $0.00
90677 38 35 $0.00
90713 331 326 $0.00
90707 102 97 $0.00
90734 208 197 $0.00