Grade, Brian

Grade, Brian was paid $59K by Medicaid between Jan 2018 and Nov 2022, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 92% of everything it billed.

33Billing provider infoGRADE, BRIAN
NEWPORT BEACH, CA 92663

33aNPI1932162724assigned 04/11/2006

33bProvider typeEmergency Medicine Physician

28Total paid$59K

24GClaims717

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2022

Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#424 of 988

Median peer was paid$32K

This provider vs. median1.9×

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	159	$11K
2019	206	$14K
2020	121	$9K
2021	124	$12K
2022	107	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	92%	627	618	$54K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	5.9%	52	51	$3K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	1.9%	25	25	$1K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	13	12	$187.20

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.