JAMES GROFF, DO
Nephrology Physician · LANCASTER, PA
Individual Active NPI 1912959107
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 571 | 1,550 | $384,571 | $164,765 | $123,882 |
| 2023 | 476 | 1,165 | $372,750 | $161,902 | $122,718 |
| 2022 | 493 | 5,450 | $411,373 | $188,897 | $144,444 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 387 | $98 | $63 |
| 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 | 372 | $16 | $12 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 234 | $75 | $59 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 173 | $329 | $260 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 67 | $123 | $98 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 54 | $84 | $57 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 46 | $112 | $89 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 37 | $158 | $123 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 27 | $277 | $221 |
| 81003 | Automated urinalysis test | 27 | $2 | $2 |
| 99291 | Critical care, first 30-74 minutes | 25 | $202 | $161 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 17 | $155 | $124 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | OS-007680-L | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Pennsylvania
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.