GROVA, JULIO
NPI: 1427402619
· RIVERSIDE, CA 92505
· Clinical Social Worker
· NPI assigned 04/14/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code 90837 with only 2 total codes billed. Highly concentrated billing profile.
$2.29M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
794 |
$89K |
| 2020 |
2,302 |
$268K |
| 2021 |
1,971 |
$250K |
| 2022 |
3,229 |
$408K |
| 2023 |
4,968 |
$586K |
| 2024 |
5,590 |
$688K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
17,964 |
6,626 |
$2.17M |
| 90791 |
Psychiatric diagnostic evaluation |
890 |
874 |
$121K |