Physician

Grace J Paradela, MD

According to 2025 Medicare claims, Grace Paradela, MD (NPI: 1588673826) practices internal medicine in the St. George, UT market, with the plurality of this provider's patient population coming from Washington, UT. This provider's primary affiliated billing organization is ONEHEALTH INC (NPI: 1558567123; TIN: 20-3937660) and primary practice location at 84790-1764. Paradela is affiliated with the Aledade 57 Western Sky MSSP Enhanced (ACO ID: A4756), participating under the MSSP model.

Paradela's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,296 traditional Medicare patients, billed 14,568 HCPCS/CPT codes, and received $599,031 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 9,835 prescription claims across 766 beneficiaries totaling $706,438 in drug costs, led by Eliquis (Apixaban). DME data shows 104 claims. Open Payments data shows 9 records totaling $288. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $279,018 and ending at $599,031. Concurrently, Part D prescription costs have risen steadily, from $399,074 to $706,438. In contrast, DME billing represents a smaller volume and moved from a higher plateau to a lower plateau, from $28,254 to $15,591.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$386K$771K2015 Medicare payment: $279,018 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $368,549 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $469,232 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $626,282 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $771,396 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $752,028 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $399,026 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $439,639 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $632,617 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $599,031 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20159968,743$279,018
20161,26416,141$368,549
20171,51835,665$469,232
20181,58937,846$626,282
20191,75544,138$771,396
20201,68544,221$752,028
20211,48332,988$399,026
20221,34529,842$439,639
20231,29821,330$632,617
20241,29614,568$599,031

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$353K$706K2015 Drug cost: $399,074 (USD; Tot_Drug_Cst)2016 Drug cost: $466,004 (USD; Tot_Drug_Cst)2017 Drug cost: $503,574 (USD; Tot_Drug_Cst)2018 Drug cost: $579,788 (USD; Tot_Drug_Cst)2019 Drug cost: $615,327 (USD; Tot_Drug_Cst)2020 Drug cost: $580,910 (USD; Tot_Drug_Cst)2021 Drug cost: $457,324 (USD; Tot_Drug_Cst)2022 Drug cost: $552,222 (USD; Tot_Drug_Cst)2023 Drug cost: $640,112 (USD; Tot_Drug_Cst)2024 Drug cost: $706,438 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20156297,186$399,074
20167618,711$466,004
20178418,995$503,574
201893410,293$579,788
201988810,188$615,327
20207279,466$580,910
20216948,069$457,324
20227528,995$552,222
20236539,391$640,112
20247669,835$706,438

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$10K$21K2015 Medicare payment: $20,525 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $10,502 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $8,941 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $4,806 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $4,558 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $4,860 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $12,507 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $11,111 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $10,892 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $9,587 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201548355$20,525
201659274$10,502
201763294$8,941
201828185$4,806
201931154$4,558
202025118$4,860
202112111$12,507
202215112$11,111
2023N/R95$10,892
202413104$9,587

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit966966$123
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more1,2053,112$82
99497Advance care planning, first 30 minutes680686$77
G0444Annual depression screening, 5 to 15 minutes956956$18
36415Insertion of needle into vein for collection of blood sample9531,460$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban1289,003$169,871
OzempicSemaglutide802,800$89,153
MounjaroTirzepatide17762$29,055
HorizantGabapentin Enacarbil12338$22,806
MyrbetriqMirabegron311,227$18,735

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R18$6,033
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R28$2,024
E0260Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattressYN/R11$555
E1392Portable oxygen concentrator, rentalYN/R13$488
A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 stripsN1322$300

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.9$288Otsuka America Pharmaceutical, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Grace J. Paradela, MD?

Tedicare shows public-source Medicare data for Grace J. Paradela, MD (NPI 1588673826), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Grace J. Paradela, MD have ACO affiliation data?

Grace J. Paradela, MD is shown with ACO affiliation data for Aledade 57 Western Sky MSSP Enhanced (MSSP, ACO ID A4756).

What billing organization is linked to Grace J. Paradela, MD?

Grace J. Paradela, MD is linked to ONEHEALTH INC (billing NPI 1558567123) in the available physician profile data.

Does Grace J. Paradela, MD have Open Payments data?

Grace J. Paradela, MD has 9 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.