Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GROVE INTERNAL MEDICINE INC.

NPI: 1811224298 · RANCHO CUCAMONGA, CA 91730 · Internal Medicine Physician · NPI assigned 11/05/2009

$10K
Total Medicaid Paid
8,151
Total Claims
7,853
Beneficiaries
27
Codes Billed
2019-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTO, SEAN (OWNER)
NPI Enumeration Date11/05/2009

Related Entities

Other providers sharing the same authorized official: TO, SEAN

ProviderCityStateTotal Paid
SEAN S TO, MD, INC CHINO CA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 296 $2K
2020 591 $992.72
2021 849 $2K
2022 1,087 $2K
2023 1,839 $1K
2024 3,489 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,193 3,051 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,777 1,683 $2K
90682 21 21 $1K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 63 63 $603.90
90674 18 18 $425.00
99215 Prolong outpt/office vis 86 86 $239.28
99442 50 48 $54.88
G8510 Screening for depression is documented as negative, a follow-up plan is not required 179 178 $9.90
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 66 66 $0.00
E0445 Oximeter device for measuring blood oxygen levels non-invasively 106 102 $0.00
3078F 340 335 $0.00
G9919 Screening performed and positive and provision of recommendations 86 86 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 30 28 $0.00
82565 32 32 $0.00
G0444 Annual depression screening, 5 to 15 minutes 73 73 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 102 102 $0.00
3077F 37 37 $0.00
G9920 Screening performed and negative 152 150 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $0.00
3074F 628 609 $0.00
3075F 241 233 $0.00
3079F 469 453 $0.00
H0001 Alcohol and/or drug assessment 133 133 $0.00
80050 General health panel 125 123 $0.00
H0049 Alcohol and/or drug screening 81 80 $0.00
82043 38 38 $0.00