Physician
Groth, Timothy
Groth, Timothy was paid $358K by Medicaid between Feb 2018 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.
33Billing provider infoGROTH, TIMOTHY
SMITHTOWN, NY 11787
SMITHTOWN, NY 11787
33aNPI1093742272assigned 06/26/2006
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$358K
24GClaims5,133
24DCodes billed11
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in New York
Rank by total paid#21 of 125
Median peer was paid$14K
This provider vs. median26×
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 | 40 | $172.02 | |
| 2019 | 248 | $859.27 | |
| 2021 | 17 | $1K | |
| 2022 | 1,460 | $135K | |
| 2023 | 2,500 | $182K | |
| 2024incomplete | 868 | $38K |
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 | 70% | 3,074 | 2,709 | $252K |
| L0650 | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | 7.1% | 31 | 31 | $26K |
| 20553 | 5.9% | 480 | 438 | $21K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.4% | 583 | 537 | $19K |
| 76942 | 4.9% | 405 | 370 | $17K | |
| 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 | 3.3% | 88 | 88 | $12K |
| 99457 | 2.0% | 294 | 291 | $7K | |
| 99454 | <1% | 36 | 36 | $2K | |
| 62323 | <1% | 13 | 13 | $2K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 105 | 103 | $11.76 |
| 99458 | 0% | 24 | 24 | $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.