NP / PA
Grothe, Keri
Grothe, Keri was paid $50K by Medicaid between Feb 2018 and Dec 2018, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoGROTHE, KERI
FOXBOROUGH, MA 02035
FOXBOROUGH, MA 02035
33aNPI1417323072assigned 08/18/2015
33bProvider typeFamily Nurse Practitioner
28Total paid$50K
24GClaims1,265
24DCodes billed9
24AFirst – last monthFeb 2018 – Dec 2018
Compared with peers
Next to other Family Nurse Practitioner providers in Massachusetts
Rank by total paid#55 of 327
Median peer was paid$5K
This provider vs. median9.3×
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 | 1,265 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 56% | 623 | 521 | $28K |
| 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 | 34% | 289 | 263 | $17K |
| 80061 | Lipid panel | 4.0% | 80 | 75 | $2K |
| 36415 | Collection of venous blood by venipuncture | 1.8% | 104 | 76 | $912.31 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.5% | 12 | 12 | $759.60 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 84 | 77 | $701.10 |
| 80050 | General health panel | 1.0% | 12 | 12 | $502.54 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 49 | 45 | $309.29 |
| 90674 | <1% | 12 | 12 | $4.00 |
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.