Hensold, James

Hensold, James was paid $165K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoHENSOLD, JAMES
WASHINGTON, IL 61571

33aNPI1013011394assigned 09/08/2006

33bProvider typeFamily Medicine Physician

28Total paid$165K

24GClaims3,298

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#674 of 2,947

Median peer was paid$43K

This provider vs. median3.9×

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	470	$20K
2019	402	$18K
2020	661	$34K
2021	599	$31K
2022	509	$28K
2023	400	$18K
2024incomplete	257	$17K

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	54%	2,029	1,796	$89K
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	46%	1,178	1,060	$76K
36415	Collection of venous blood by venipuncture	<1%	91	89	$8.20

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.