James Song MD a Professional Corporation
James Song MD a Professional Corporation was paid $1.16M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 53% of everything it billed.
33Billing provider infoJAMES SONG MD A PROFESSIONAL CORPORATION
HACIENDA HEIGHTS, CA 91745
HACIENDA HEIGHTS, CA 91745
33aNPI1043307291assigned 10/09/2006
33bProvider typeSpecialist
28Total paid$1.16M
24GClaims39,518
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#173 of 1,230
Median peer was paid$51K
This provider vs. median23×
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 | 4,475 | $145K | |
| 2019 | 5,731 | $261K | |
| 2020 | 4,029 | $136K | |
| 2021 | 4,070 | $103K | |
| 2022 | 4,566 | $103K | |
| 2023 | 8,685 | $267K | |
| 2024incomplete | 7,962 | $143K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 53% | 5,100 | 4,772 | $615K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 22% | 14,076 | 4,173 | $250K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 11% | 7,257 | 2,139 | $132K |
| 99239 | Hospital discharge day management, more than 30 minutes | 9.8% | 5,241 | 4,950 | $114K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.2% | 523 | 124 | $26K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 146 | 143 | $10K |
| 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 | <1% | 4,981 | 4,445 | $9K |
| 99306 | Prolong nursin fac eval 15m | <1% | 67 | 67 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,600 | 1,480 | $1K |
| 99497 | <1% | 58 | 58 | $39.28 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | 12 | $10.00 |
| 1158F | 0% | 91 | 91 | $0.00 |
8 more codes
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.
From NPPES
Who's on the registration
Authorized officialSONG, JAMES (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Harmony Holistic Wellness Center LLC | San Jose, CA | $34K |
| Susquehanna Anesthesia Affiliates, PC | Johnson City, NY | $3K |
| James Song Pharm.D. Pharmacy INC. | Los Angeles, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.