Gronbeck, Donald

Gronbeck, Donald was paid $88K by Medicaid between Jan 2018 and Jun 2018, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.

33Billing provider infoGRONBECK, DONALD
YELLOW SPRINGS, OH 45387

33aNPI1235366709assigned 06/11/2009

33bProvider typeAddiction Medicine (Family Medicine) Physician

28Total paid$88K

24GClaims1,718

24DCodes billed8

24AFirst – last monthJan 2018 – Jun 2018

Compared with peers

Next to other Addiction Medicine (Family Medicine) Physician providers in Ohio

Rank by total paid#20 of 29

Median peer was paid$192K

This provider vs. median0.5×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (12/18/2025).

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	1,718	$88K

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	75%	1,042	795	$66K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	459	367	$19K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.9%	111	87	$2K
98929		<1%	17	12	$603.52
98926		<1%	18	17	$360.12
83036	Hemoglobin; glycosylated (A1C)	<1%	28	27	$261.84
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	12	12	$90.49
81002		<1%	31	25	$70.76

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.