Physician
Borland Groover Clinic, PA
Borland Groover Clinic, PA was paid $888K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 54% of everything it billed.
33Billing provider infoBORLAND GROOVER CLINIC, PA
JACKSONVILLE, FL 32256
JACKSONVILLE, FL 32256
33aNPI1881644912assigned 05/11/2006
33bProvider typeAllergy Physician
28Total paid$888K
24GClaims23,071
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Allergy Physician providers in Florida
Rank by total paid#1 of 23
Median peer was paid$10K
This provider vs. median92×
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 | 1,063 | $9K | |
| 2019 | 4,658 | $167K | |
| 2020 | 3,029 | $68K | |
| 2021 | 2,949 | $133K | |
| 2022 | 4,582 | $192K | |
| 2023 | 5,233 | $223K | |
| 2024incomplete | 1,557 | $96K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 54% | 5,453 | 4,659 | $481K |
| 88312 | 14% | 3,062 | 2,638 | $129K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 7,362 | 1,749 | $101K |
| 88313 | 9.0% | 3,192 | 2,753 | $80K | |
| 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 | 3.1% | 1,299 | 1,056 | $28K |
| 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 | 1.7% | 241 | 196 | $15K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.5% | 160 | 141 | $13K |
| 74183 | 1.5% | 141 | 101 | $13K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.4% | 271 | 196 | $12K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 441 | 115 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 253 | 223 | $3K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 112 | 105 | $3K |
8 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 46 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 49 | $1K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 14 | $621.01 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $223.37 |
| 82570 | <1% | 434 | $172.59 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 336 | $171.38 |
| 81025 | <1% | 28 | $78.47 | |
| A9585 | Injection, gadobutrol, 0.1 ml | <1% | 160 | $20.82 |
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 officialETZKORN, KYLE (EXECUTIVE VP OF OPERATIONS)