Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Grover, Michael

Grover, Michael was paid $294K by Medicaid between Feb 2018 and Oct 2020, across 7 billing codes. Its largest line is 90792, Psychiatric diagnostic evaluation with medical services — 43% of everything it billed.

33Billing provider infoGROVER, MICHAEL
EVANSTON, IL 60201
33aNPI1619009875assigned 03/12/2007
33bProvider typeSpecialist
28Total paid$294K
24GClaims4,301
24DCodes billed7
24AFirst – last monthFeb 2018 – Oct 2020
Compared with peers

Next to other Specialist providers in Illinois

Rank by total paid#45 of 273
Median peer was paid$32K
This provider vs. median9.1×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2018946$59K
20191,961$130K
20201,394$104K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90792 Psychiatric diagnostic evaluation with medical services 43% 1,179 817 $127K
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 40% 1,718 1,303 $116K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 7.4% 949 393 $22K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.1% 167 119 $9K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.8% 95 69 $8K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 2.2% 64 48 $6K
99239 Hospital discharge day management, more than 30 minutes 1.6% 129 111 $5K

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.