Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Springfield › NPI 1043247083
Physician

Gilchrist, James

Gilchrist, James was paid $71K by Medicaid between Dec 2018 and Nov 2022, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

33Billing provider infoGILCHRIST, JAMES
SPRINGFIELD, IL 62702
33aNPI1043247083assigned 06/26/2006
33bProvider typeNeurology Physician
28Total paid$71K
24GClaims1,060
24DCodes billed8
24AFirst – last monthDec 2018 – Nov 2022
Compared with peers

Next to other Neurology Physician providers in Illinois

Rank by total paid#95 of 371
Median peer was paid$18K
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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
201813$1K
2019169$17K
2020132$14K
2021438$21K
2022308$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34% 350 245 $24K
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 22% 185 124 $15K
95885 15% 243 147 $11K
95886 8.6% 109 76 $6K
95910 8.1% 59 44 $6K
99243 6.7% 60 57 $5K
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 3.1% 23 15 $2K
95908 2.6% 31 15 $2K

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.