Physician
John a Grimaldi DO INC
John a Grimaldi DO INC was paid $4.27M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 53850, — 51% of everything it billed.
33Billing provider infoJOHN A GRIMALDI DO INC
CHULA VISTA, CA 91910
CHULA VISTA, CA 91910
33aNPI1982910741assigned 08/31/2010
33bProvider typeUrology Physician
28Total paid$4.27M
24GClaims28,353
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urology Physician providers in California
Rank by total paid#3 of 171
Median peer was paid$20K
This provider vs. median211×
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 | 4,062 | $285K | |
| 2019 | 4,572 | $330K | |
| 2020 | 2,787 | $226K | |
| 2021 | 4,640 | $959K | |
| 2022 | 5,832 | $1.17M | |
| 2023 | 4,684 | $1.05M | |
| 2024incomplete | 1,776 | $251K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 53850 | 51% | 965 | 962 | $2.17M | |
| 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 | 17% | 12,009 | 10,874 | $722K |
| 51728 | 12% | 1,560 | 1,542 | $532K | |
| 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 | 7.7% | 2,900 | 2,892 | $329K |
| 52000 | 7.4% | 2,966 | 2,945 | $314K | |
| 51741 | 1.6% | 1,553 | 1,537 | $69K | |
| 51798 | 1.5% | 995 | 983 | $64K | |
| 64566 | <1% | 193 | 119 | $35K | |
| 81003 | <1% | 4,316 | 4,171 | $13K | |
| 51703 | <1% | 251 | 233 | $11K | |
| 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% | 94 | 67 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 164 | 133 | $4K |
3 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 328 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 14 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 45 | $0.00 |
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 officialGRIMALDI, JOHN (PRESIDENT)