James Grove & Associates, LLC
James Grove & Associates, LLC was paid $159K by Medicaid between Jan 2018 and Jun 2024, across 10 billing codes. Its largest line is 92015, Determination of refractive state — 36% of everything it billed.
33Billing provider infoJAMES GROVE & ASSOCIATES, LLC
URBANA, OH 43078
URBANA, OH 43078
33aNPI1659573962assigned 05/31/2007
33bProvider typeOptometrist
28Total paid$159K
24GClaims6,013
24DCodes billed10
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#215 of 1,098
Median peer was paid$41K
This provider vs. median3.9×
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 | 1,100 | $24K | |
| 2019 | 1,744 | $44K | |
| 2020 | 726 | $21K | |
| 2021 | 693 | $21K | |
| 2022 | 667 | $21K | |
| 2023 | 932 | $26K | |
| 2024incomplete | 151 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 36% | 3,078 | 2,865 | $58K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 1,104 | 1,043 | $46K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 357 | 328 | $19K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 873 | 833 | $17K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 8.5% | 365 | 346 | $14K |
| V2020 | Frames, purchases | 1.1% | 93 | 92 | $2K |
| 92341 | 1.1% | 71 | 70 | $2K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 32 | 32 | $806.16 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 13 | 13 | $545.09 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 27 | 27 | $278.00 |
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.
From NPPES
Who's on the registration
Authorized officialGROVE, JAMES (OWNER)