GRACEMED HEALTH CLINIC, INC
NPI: 1730575069
· WICHITA, KS 67210
· 261QF0400X
$2.68M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,633 |
$370K |
| 2019 |
5,070 |
$466K |
| 2020 |
3,573 |
$292K |
| 2021 |
4,169 |
$311K |
| 2022 |
3,524 |
$353K |
| 2023 |
5,052 |
$495K |
| 2024 |
3,727 |
$395K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
5,139 |
4,782 |
$891K |
| 99214 |
|
4,831 |
4,575 |
$835K |
| 99393 |
|
1,738 |
1,712 |
$321K |
| 99392 |
|
1,321 |
1,310 |
$245K |
| 99394 |
|
1,169 |
1,140 |
$217K |
| 99391 |
|
373 |
359 |
$69K |
| 99212 |
|
290 |
285 |
$52K |
| 99203 |
|
150 |
146 |
$27K |
| 99383 |
|
59 |
58 |
$11K |
| 99384 |
|
57 |
53 |
$10K |
| 99381 |
|
13 |
13 |
$3K |
| 99204 |
|
13 |
12 |
$2K |
| 90460 |
|
4,309 |
4,254 |
$385.43 |
| 81003 |
|
234 |
227 |
$1.00 |
| 90686 |
|
1,659 |
1,630 |
$0.00 |
| 90651 |
|
665 |
654 |
$0.00 |
| 90697 |
|
141 |
141 |
$0.00 |
| 90677 |
|
145 |
145 |
$0.00 |
| 90620 |
|
199 |
195 |
$0.00 |
| 90619 |
|
262 |
255 |
$0.00 |
| 90698 |
|
153 |
152 |
$0.00 |
| 90744 |
|
55 |
53 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
50 |
38 |
$0.00 |
| 36415 |
|
14 |
14 |
$0.00 |
| 87880 |
|
366 |
359 |
$0.00 |
| 90670 |
|
395 |
393 |
$0.00 |
| 90461 |
|
2,571 |
2,544 |
$0.00 |
| 90734 |
|
311 |
308 |
$0.00 |
| 90710 |
|
145 |
141 |
$0.00 |
| 90633 |
|
360 |
356 |
$0.00 |
| 90700 |
|
241 |
239 |
$0.00 |
| 90715 |
|
231 |
224 |
$0.00 |
| 90685 |
|
76 |
76 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |