Davis, James

Davis, James was paid $23K by Medicaid between Jan 2018 and Sep 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.

33Billing provider infoDAVIS, JAMES
HERRIN, IL 62948

33aNPI1063516797assigned 09/12/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$23K

24GClaims1,137

24DCodes billed6

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Illinois

Rank by total paid#199 of 422

Median peer was paid$21K

This provider vs. median1.1×

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	178	$3K
2019	356	$8K
2020	313	$8K
2021	103	$3K
2023	52	$178.15
2024incomplete	135	$1K

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	74%	711	597	$17K
73562		15%	349	314	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.2%	28	25	$976.47
20610		3.6%	22	13	$829.60
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	2.7%	15	14	$621.46
73502		<1%	12	12	$139.08

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.