Groves, Elliott

Groves, Elliott was paid $23K by Medicaid between Jan 2018 and Mar 2021, across 4 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 69% of everything it billed.

33Billing provider infoGROVES, ELLIOTT
BURLINGAME, CA 94010

33aNPI1154550119assigned 07/10/2009

33bProvider typeInterventional Cardiology Physician

28Total paid$23K

24GClaims1,618

24DCodes billed4

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other Interventional Cardiology Physician providers in California

Rank by total paid#70 of 125

Median peer was paid$32K

This provider vs. median0.7×

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	506	$5K
2019	497	$7K
2020	475	$9K
2021	140	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	69%	1,519	1,201	$16K
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	21%	45	36	$5K
99238	Hospital discharge day management, 30 minutes or less	7.3%	29	26	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.2%	25	25	$726.80

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.