Light, James

Light, James was paid $2K by Medicaid between Nov 2020 and Nov 2020, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoLIGHT, JAMES
ROANOKE, VA 24014

33aNPI1003234949assigned 03/28/2014

33bProvider typeInterventional Pain Medicine Physician

28Total paid$2K

24GClaims51

24DCodes billed2

24AFirst – last monthNov 2020 – Nov 2020

Compared with peers

Next to other Interventional Pain Medicine Physician providers in Virginia

Rank by total paid#10 of 12

Median peer was paid$21K

This provider vs. median0.1×

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
2020	51	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	57%	35	34	$1K
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	43%	16	16	$761.88

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.