Medicaid Provider Spending

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

GRACE MOUNTAIN MEDICAL, LLC

NPI: 1821645896 · PIKEVILLE, KY 41501 · Urgent Care Clinic/Center · NPI assigned 08/23/2019

$32K
Total Medicaid Paid
1,255
Total Claims
1,082
Beneficiaries
6
Codes Billed
2021-06
First Month
2023-02
Last Month

Provider Details

Authorized OfficialSHEPHERD HATFIELD, TONYA (CO-OWNER)
NPI Enumeration Date08/23/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 15 $0.00
2022 1,006 $24K
2023 234 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 550 502 $21K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 399 341 $10K
80305 128 98 $786.39
99406 135 100 $658.06
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 29 28 $423.03
J1100 Injection, dexamethasone sodium phosphate, 1 mg 14 13 $6.32