Clinic
Donna Karen Groff PLLC
Donna Karen Groff PLLC was paid $57K by Medicaid between Aug 2020 and Nov 2022, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoDONNA KAREN GROFF PLLC
MATHIS, TX 78368
MATHIS, TX 78368
33aNPI1023641545assigned 02/13/2020
33bProvider typeRural Health Clinic/Center
28Total paid$57K
24GClaims2,932
24DCodes billed12
24AFirst – last monthAug 2020 – Nov 2022
Compared with peers
Next to other Rural Health Clinic/Center providers in Texas
Rank by total paid#176 of 225
Median peer was paid$428K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 383 | $7K | |
| 2021 | 1,410 | $30K | |
| 2022 | 1,139 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 57% | 1,294 | 884 | $33K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 11% | 250 | 213 | $6K |
| 86769 | 9.7% | 181 | 159 | $6K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 9.1% | 115 | 99 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 103 | 82 | $3K |
| 99306 | Prolong nursin fac eval 15m | 3.3% | 227 | 141 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 27 | 26 | $996.89 |
| 99384 | 1.6% | 14 | 14 | $919.95 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 45 | 34 | $569.88 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 59 | 37 | $380.87 |
| 36415 | Collection of venous blood by venipuncture | 0% | 508 | 405 | $0.00 |
| 36416 | 0% | 109 | 97 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialGROFF, DONNA (FNP/OWNER)