Grova, Julio

Grova, Julio was paid $2.29M by Medicaid between May 2019 and Oct 2024, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 95% of everything it billed.

33Billing provider infoGROVA, JULIO
RIVERSIDE, CA 92505

33aNPI1427402619assigned 04/14/2016

33bProvider typeClinical Social Worker

28Total paid$2.29M

24GClaims18,854

24DCodes billed2

24AFirst – last monthMay 2019 – Oct 2024

Compared with peers

Next to other Clinical Social Worker providers in California

Rank by total paid#22 of 591

Median peer was paid$50K

This provider vs. median46×

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.

Single-Code Concentration95% of spending on code 90837 with only 2 total codes billed. Highly concentrated billing profile.

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
2019	794	$89K
2020	2,302	$268K
2021	1,971	$250K
2022	3,229	$408K
2023	4,968	$586K
2024incomplete	5,590	$688K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	95%	17,964	6,626	$2.17M
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	5.3%	890	874	$121K

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.