Physician
Stephen W. Groves MD, PC
Stephen W. Groves MD, PC was paid $3.23M by Medicaid between Oct 2021 and Dec 2024, across 18 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 27% of everything it billed.
33Billing provider infoSTEPHEN W. GROVES MD, PC
TULSA, OK 74137
TULSA, OK 74137
33aNPI1326087768assigned 06/04/2006
33bProvider typeOphthalmology Physician
28Total paid$3.23M
24GClaims77,246
24DCodes billed18
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Oklahoma
Rank by total paid#3 of 43
Median peer was paid$17K
This provider vs. median189×
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 | |
|---|---|---|---|
| 2021 | 5,985 | $214K | |
| 2022 | 28,897 | $1.24M | |
| 2023 | 25,766 | $1.07M | |
| 2024incomplete | 16,598 | $710K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 27% | 8,163 | 8,161 | $885K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 3,601 | 3,601 | $465K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 11,983 | 11,923 | $362K |
| 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 | 11% | 3,262 | 3,192 | $361K |
| 92015 | Determination of refractive state | 8.5% | 15,593 | 15,559 | $275K |
| 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 | 6.0% | 1,339 | 1,339 | $195K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 5.6% | 6,852 | 6,771 | $181K |
| V2020 | Frames, purchases | 3.9% | 12,758 | 12,673 | $127K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.5% | 5,003 | 4,940 | $114K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.2% | 1,363 | 1,293 | $104K |
| 92370 | 2.5% | 2,945 | 2,898 | $80K | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.8% | 2,637 | 2,605 | $57K |
6 more codes
| V2783 | Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens | <1% | 137 | $10K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 373 | $8K |
| V2108 | Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 262 | $5K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $1K |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | <1% | 26 | $502.20 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 937 | $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 officialGROVES, STEPHEN (OWNER)