Physician
Gary C Graham, M.D., INC
Gary C Graham, M.D., INC was paid $288K by Medicaid between Jan 2018 and Dec 2021, across 11 billing codes. Its largest line is 92134, — 40% of everything it billed.
33Billing provider infoGARY C GRAHAM, M.D., INC
MERCED, CA 95340
MERCED, CA 95340
33aNPI1740501196assigned 06/21/2010
33bProvider typeOphthalmology Physician
28Total paid$288K
24GClaims7,617
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#187 of 759
Median peer was paid$35K
This provider vs. median8.2×
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 | |
|---|---|---|---|
| 2018 | 1,674 | $57K | |
| 2019 | 2,265 | $88K | |
| 2020 | 1,898 | $71K | |
| 2021 | 1,780 | $72K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92134 | 40% | 3,554 | 3,553 | $114K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 28% | 2,368 | 2,074 | $81K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.1% | 469 | 428 | $23K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.4% | 195 | 195 | $19K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 6.0% | 233 | 233 | $17K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.5% | 86 | 86 | $13K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.8% | 522 | 497 | $8K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.9% | 44 | 44 | $6K |
| 92083 | 1.6% | 95 | 95 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 39 | 39 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 12 | 12 | $694.49 |
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.
From NPPES
Who's on the registration
Authorized officialGRAHAM, GARY (M.D.)