Physician
Irvine, James
Irvine, James was paid $50K by Medicaid between May 2022 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoIRVINE, JAMES
MCKEESPORT, PA 15132
MCKEESPORT, PA 15132
33aNPI1053673038assigned 06/14/2012
33bProvider typeOrthopaedic Surgery Physician
28Total paid$50K
24GClaims2,357
24DCodes billed7
24AFirst – last monthMay 2022 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Pennsylvania
Rank by total paid#46 of 291
Median peer was paid$7K
This provider vs. median6.7×
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 | |
|---|---|---|---|
| 2022 | 226 | $4K | |
| 2023 | 948 | $21K | |
| 2024incomplete | 1,183 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 475 | 467 | $22K |
| 20610 | 36% | 951 | 739 | $18K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 200 | 192 | $6K |
| 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 | 8.3% | 60 | 60 | $4K |
| 76000 | <1% | 14 | 13 | $101.20 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 624 | 607 | $0.00 |
| 3078F | 0% | 33 | 27 | $0.00 |
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.