GRAGEDA, MARIE CLAUDETTE
NPI: 1891998159
· HOLLISTER, CA 95023
· 207Q00000X
$114K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,027 |
$850.34 |
| 2019 |
1,594 |
$338.55 |
| 2020 |
1,500 |
$305.71 |
| 2021 |
2,019 |
$562.75 |
| 2022 |
2,577 |
$557.25 |
| 2023 |
3,978 |
$3K |
| 2024 |
9,180 |
$108K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99490 |
Ccm add 20min |
1,957 |
1,957 |
$26K |
| 99458 |
|
1,852 |
1,852 |
$25K |
| 99457 |
|
1,990 |
1,990 |
$19K |
| 99454 |
|
1,507 |
1,501 |
$15K |
| 99395 |
|
380 |
379 |
$5K |
| 99203 |
|
319 |
318 |
$4K |
| 99213 |
|
9,364 |
7,340 |
$4K |
| 99439 |
|
554 |
554 |
$4K |
| 99396 |
|
275 |
274 |
$2K |
| 99214 |
|
2,090 |
1,969 |
$1K |
| 99394 |
|
12 |
12 |
$1K |
| 90656 |
|
76 |
76 |
$1K |
| 83036 |
|
745 |
735 |
$1K |
| 99204 |
|
12 |
12 |
$745.40 |
| 90471 |
|
369 |
361 |
$737.34 |
| 97802 |
|
13 |
13 |
$520.00 |
| 99212 |
|
253 |
218 |
$295.58 |
| 80061 |
|
77 |
77 |
$173.10 |
| 96372 |
|
23 |
13 |
$84.41 |
| 93000 |
|
38 |
38 |
$79.54 |
| 90674 |
|
206 |
201 |
$75.58 |
| 87804 |
|
22 |
21 |
$8.85 |
| G2211 |
Complex e/m visit add on |
261 |
254 |
$0.00 |
| 3078F |
|
57 |
52 |
$0.00 |
| 90756 |
|
47 |
47 |
$0.00 |
| 99211 |
|
27 |
25 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |
| 87635 |
|
89 |
79 |
$0.00 |
| 36415 |
|
22 |
20 |
$0.00 |
| 3079F |
|
14 |
13 |
$0.00 |
| 3044F |
|
66 |
66 |
$0.00 |
| 3074F |
|
46 |
46 |
$0.00 |
| 90686 |
|
63 |
63 |
$0.00 |
| G0008 |
Admin influenza virus vac |
23 |
23 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |