Physician
Groves Enterprises PLLC
Groves Enterprises PLLC was paid $799K by Medicaid between Sep 2021 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoGROVES ENTERPRISES PLLC
YUKON, OK 73099
YUKON, OK 73099
33aNPI1467761882assigned 10/04/2010
33bProvider typeGeneral Practice Physician
28Total paid$799K
24GClaims13,253
24DCodes billed20
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Oklahoma
Rank by total paid#5 of 26
Median peer was paid$166K
This provider vs. median4.8×
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 | 902 | $52K | |
| 2022 | 4,335 | $240K | |
| 2023 | 5,527 | $342K | |
| 2024incomplete | 2,489 | $164K |
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 | 49% | 3,782 | 3,114 | $391K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 3,643 | 3,234 | $276K |
| 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 | 4.7% | 262 | 262 | $37K |
| 80305 | 3.0% | 2,152 | 1,614 | $24K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.7% | 357 | 352 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 138 | 138 | $13K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 111 | 110 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 314 | 310 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 427 | 421 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 275 | 266 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 806 | 780 | $4K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 12 | 12 | $2K |
8 more codes
| 96127 | <1% | 381 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 32 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 26 | $689.38 |
| 90686 | <1% | 91 | $454.74 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 26 | $223.20 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 20 | $201.17 |
| 96160 | <1% | 371 | $6.83 |
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, PHILICIA (OWNER)