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Donald Gronbeck

Family Medicine, Addiction Medicine·Yellow Springs, OH·NPI: 1235366709SharePrint ReportML Risk: 86%

Total Paid

$88K

$87,987

Total Claims

1,718

Beneficiaries

1,342

1.3 claims/patient

Avg Cost/Claim

$51

🔍 Analysis

Provider Overview

Donald Gronbeck is a Family Medicine, Addiction Medicine provider based in Yellow Springs, OH. From 2018-01 through 2018-06, this provider received $88K in Medicaid payments across 2K claims serving 1K beneficiaries, billing 8 distinct procedure codes.

Key Findings

  • 📊75% of billing is concentrated in 99214 (99214), indicating significant specialization in this service.
  • 📊Billing stopped in 2018-06, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 75% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$66K

1,042 claims · 75.2%

Your Cost: $63.49/claim|Median: $53.41
1.2× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$19K

459 claims · 21.3%

Your Cost: $40.90/claim|Median: $37.81
1.1× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$2K

111 claims · 1.9%

Your Cost: $15.01/claim|Median: $9.56
1.6× median
98929Normal range

$604

17 claims · 0.7%

Your Cost: $35.50/claim|Median: $37.08
1.0× median
98926Normal range

$360

18 claims · 0.4%

Your Cost: $20.01/claim|Median: $22.66
0.9× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$262

28 claims · 0.3%

Your Cost: $9.35/claim|Median: $5.50
1.7× median
J0702Normal range

$90

12 claims · 0.1%

Your Cost: $7.54/claim|Median: $7.64
1.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$71

31 claims · 0.1%

Your Cost: $2.28/claim|Median: $2.00
1.1× median