Physician
Gravelle, Lisa
Gravelle, Lisa was paid $1K by Medicaid between Mar 2018 and Sep 2020, across 2 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 100% of everything it billed.
33Billing provider infoGRAVELLE, LISA
SALT LAKE CITY, UT 84107
SALT LAKE CITY, UT 84107
33aNPI1821028820assigned 07/04/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$1K
24GClaims37
24DCodes billed2
24AFirst – last monthMar 2018 – Sep 2020
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Utah
Rank by total paid#61 of 76
Median peer was paid$23K
This provider vs. median0.1×
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 | 12 | $995.46 | |
| 2020 | 25 | $317.96 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 100% | 25 | 25 | $1K |
| 90686 | 0% | 12 | 12 | $0.00 |
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.