Kenneth R Grossman MD INC

Kenneth R Grossman MD INC was paid $1.89M by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 18% of everything it billed.

33Billing provider infoKENNETH R GROSSMAN MD INC
MERCED, CA 95348

33aNPI1174537021assigned 07/28/2006

33bProvider typeOphthalmology Physician

28Total paid$1.89M

24GClaims46,314

24DCodes billed26

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#57 of 759

Median peer was paid$35K

This provider vs. median54×

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	2,916	$68K
2019	3,390	$67K
2020	4,199	$165K
2021	7,396	$363K
2022	8,115	$414K
2023	11,537	$538K
2024incomplete	8,761	$274K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	18%	11,117	9,823	$339K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	17%	1,369	1,281	$312K
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	12%	1,871	1,866	$222K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	11%	7,904	7,849	$212K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	7.8%	2,147	2,144	$148K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.6%	2,990	2,878	$124K
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	4.1%	683	679	$77K
92250		3.7%	4,351	4,299	$70K
67028	Intravitreal injection of a pharmacologic agent	3.3%	1,738	1,596	$63K
J0178	Injection, aflibercept, 1 mg	3.3%	58	57	$61K
J9035	Injection, bevacizumab, 10 mg	2.6%	914	900	$49K
92015	Determination of refractive state	1.6%	1,467	1,466	$30K

14 more codes

68761		1.5%	386	$28K
92083		1.5%	1,258	$28K
92134		1.5%	3,425	$28K
V2020	Frames, purchases	1.4%	1,249	$26K
92136		1.3%	1,110	$25K
92340	Fitting of spectacles, except for aphakia; monofocal	<1%	811	$16K
66821		<1%	117	$11K
92341		<1%	390	$9K
92133		<1%	721	$6K
92020		<1%	47	$961.85
67820		<1%	97	$740.94
65205		<1%	41	$458.34
68801		<1%	13	$452.20
65210		<1%	40	$354.11

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 officialGROSSMAN, KENNETH (OWNER PHYSICIAN)

Same official

Other billing entities under GROSSMAN, KENNETH

Full network →

Provider	Location	Paid
Uas Management, INC.	Merced, CA	$1.89M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.