James, Shannon

James, Shannon was paid $222K by Medicaid between Dec 2021 and Nov 2024, across 5 billing codes. Its largest line is 95816, — 31% of everything it billed.

33Billing provider infoJAMES, SHANNON
GLENS FALLS, NY 12801

33aNPI1053898908assigned 07/24/2018

33bProvider typePsychiatric/Mental Health Nurse Practitioner

28Total paid$222K

24GClaims2,972

24DCodes billed5

24AFirst – last monthDec 2021 – Nov 2024

Compared with peers

Next to other Psychiatric/Mental Health Nurse Practitioner providers in New York

Rank by total paid#25 of 328

Median peer was paid$7K

This provider vs. median30×

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
2021	24	$2K
2022	488	$30K
2023	1,501	$119K
2024incomplete	959	$72K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95816		31%	269	56	$69K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	1,040	512	$58K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	22%	810	780	$49K
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	19%	554	516	$43K
90901		1.6%	299	68	$4K

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.