Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Ventura › NPI 1063998615
Physician

James F Mitchell JR MD INC

James F Mitchell JR MD INC was paid $233K by Medicaid between Nov 2018 and Jun 2023, across 4 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 69% of everything it billed.

33Billing provider infoJAMES F MITCHELL JR MD INC
VENTURA, CA 93003
33aNPI1063998615assigned 07/17/2018
28Total paid$233K
24GClaims3,916
24DCodes billed4
24AFirst – last monthNov 2018 – Jun 2023
Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#404 of 2,679
Median peer was paid$13K
This provider vs. median18×

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
2018197$5K
20191,206$59K
2020884$42K
2021753$50K
2022713$58K
2023163$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 69% 1,860 985 $161K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 1,951 1,033 $68K
97597 1.3% 91 57 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 14 14 $361.44

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 officialMITCHELL, JAMES (PRESIDENT)
Same official

Other billing entities under MITCHELL, JAMES

Full network →
ProviderLocationPaid
Top Notch Medical Transport LLCHurt, VA$1.66M
Seaford Volunteer Fire Department INC.Seaford, DE$193K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.