Medicaid Provider Spending

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

HEALING GRACE INTERNAL MEDICINE & PEDIATRICS, LLC

NPI: 1780802504 · SHREVEPORT, LA 71129 · Allergy & Immunology Physician · NPI assigned 04/24/2007

$411K
Total Medicaid Paid
13,177
Total Claims
11,721
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCLAYTON, TONYA (PRESIDENT)
NPI Enumeration Date04/24/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,689 $82K
2019 2,538 $71K
2020 1,883 $56K
2021 1,723 $54K
2022 1,422 $50K
2023 1,784 $53K
2024 1,138 $45K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,520 2,224 $150K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,386 2,854 $139K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,763 2,468 $68K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 147 140 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 763 685 $10K
92551 1,062 1,010 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 116 109 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 99 95 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 353 309 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 27 26 $2K
99173 1,086 1,022 $2K
99499 141 124 $1K
90686 371 342 $1K
90472 Immunization administration, each additional vaccine (list separately) 50 44 $666.49
36415 Collection of venous blood by venipuncture 223 200 $439.77
81025 57 56 $315.50
99051 13 13 $175.80