Physician
Timothy D. Groth MD PC
Timothy D. Groth MD PC was paid $947K by Medicaid between Mar 2020 and Nov 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoTIMOTHY D. GROTH MD PC
SMITHTOWN, NY 11787
SMITHTOWN, NY 11787
33aNPI1720022015assigned 06/16/2006
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$947K
24GClaims12,601
24DCodes billed17
24AFirst – last monthMar 2020 – Nov 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in New York
Rank by total paid#13 of 125
Median peer was paid$14K
This provider vs. median68×
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 | |
|---|---|---|---|
| 2020 | 382 | $32K | |
| 2021 | 1,581 | $130K | |
| 2022 | 2,598 | $204K | |
| 2023 | 2,792 | $212K | |
| 2024incomplete | 5,248 | $369K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 4,760 | 4,269 | $364K |
| 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 | 38% | 4,192 | 3,814 | $356K |
| 76942 | 11% | 1,054 | 967 | $100K | |
| 20553 | 6.0% | 1,144 | 1,041 | $57K | |
| 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 | 3.2% | 224 | 224 | $30K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 672 | 627 | $9K |
| 0101T | <1% | 57 | 49 | $8K | |
| L0650 | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | <1% | 12 | 12 | $7K |
| 99458 | <1% | 106 | 106 | $5K | |
| 99457 | <1% | 147 | 146 | $3K | |
| 95886 | <1% | 18 | 18 | $3K | |
| 76881 | <1% | 26 | 14 | $2K |
5 more codes
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 officialGROTH, TIMOTHY (PHYSICIAN)