NPI: 1871035709 · MCPHERSON, KS 67460 · Federally Qualified Health Center (FQHC) · NPI assigned 11/09/2016
Authorized official ELDER, JULIE controls 15+ related entities in our dataset. Read more
| Authorized Official | ELDER, JULIE (CEO) |
| NPI Enumeration Date | 11/09/2016 |
Other providers sharing the same authorized official: ELDER, JULIE
| Provider | City | State | Total Paid |
|---|---|---|---|
| GRACEMED HEALTH CLINIC INC | WICHITA | KS | $18.33M |
| GRACEMED HEALTH CLINIC, INC | WICHITA | KS | $3.37M |
| GRACEMED HEALTH CLINIC, INC | WICHITA | KS | $2.68M |
| GRACEMED HEALTH CLINIC, INC | TOPEKA | KS | $2.24M |
| GRACEMED HEALTH CLINIC, INC | WICHITA | KS | $2.09M |
| GRACEMED HEALTH CLINIC, INC | WICHITA | KS | $1.85M |
| GRACEMED HEALTH CLINIC, INC | WICHITA | KS | $1.53M |
| GRACEMED HEALTH CLINIC, INC | WICHITA | KS | $1.38M |
| GRACEMED HEALTH CLINIC, INC | TOPEKA | KS | $1.36M |
| GRACEMED HEALTH CLINIC, INC | WICHITA | KS | $1.28M |
| GRACEMED HEALTH CLINIC, INC | WICHITA | KS | $1.03M |
| GRACEMED HEALTH CLINIC, INC | WICHITA | KS | $981K |
| GRACEMED HEALTH CLINIC, INC | WICHITA | KS | $830K |
| GRACEMED HEALTH CLINIC, INC | WICHITA | KS | $745K |
| GRACEMED HEALTH CLINIC, INC | CLEARWATER | KS | $406K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 224 | $31K |
| 2019 | 331 | $42K |
| 2020 | 149 | $18K |
| 2022 | 50 | $8K |
| 2023 | 544 | $48K |
| 2024 | 477 | $68K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,174 | 988 | $190K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 47 | 45 | $7K |
| D1206 | Topical application of fluoride varnish | 76 | 73 | $5K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 30 | 28 | $5K |
| D1120 | Prophylaxis - child | 15 | 15 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13 | 13 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 111 | 104 | $2K |
| D1110 | Prophylaxis - adult | 12 | 12 | $797.60 |
| D0230 | Intraoral - periapical each additional radiographic image | 187 | 55 | $384.20 |
| 90686 | 40 | 39 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 46 | 45 | $0.00 |
| D0330 | Panoramic radiographic image | 12 | 12 | $0.00 |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $0.00 |