GRACELAND FAMILY CARE PLLC
NPI: 1912296252
· CARRIZO SPRINGS, TX 78834
· Family Medicine Physician
· NPI assigned 04/06/2011
$145K
Total Medicaid Paid
Provider Details
| Authorized Official | OKEA, REMIGIUS (DIRECTOR) |
| NPI Enumeration Date | 04/06/2011 |
Related Entities
Other providers sharing the same authorized official: OKEA, REMIGIUS
| Provider | City | State | Total Paid |
|---|
| DOCDIT INC |
CARRIZO SPRINGS |
TX |
$0.00 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
520 |
$5K |
| 2019 |
1,318 |
$59K |
| 2020 |
1,621 |
$30K |
| 2021 |
846 |
$17K |
| 2022 |
488 |
$13K |
| 2023 |
466 |
$12K |
| 2024 |
317 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99444 |
|
975 |
302 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,086 |
1,779 |
$50K |
| 99422 |
|
1,312 |
409 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
734 |
637 |
$12K |
| 36410 |
|
129 |
125 |
$547.76 |
| 93922 |
|
149 |
143 |
$296.62 |
| 90694 |
|
13 |
13 |
$187.74 |
| 99310 |
Prolong nursin fac eval 15m |
28 |
28 |
$146.69 |
| 93000 |
|
19 |
15 |
$2.96 |
| 90653 |
|
58 |
57 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
58 |
57 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$0.00 |