Prommersberger, James

Prommersberger, James was paid $122K by Medicaid between Jan 2018 and Feb 2020, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.

33Billing provider infoPROMMERSBERGER, JAMES
BOARDMAN, OH 44512

33aNPI1073584686assigned 01/31/2006

33bProvider typePodiatrist

28Total paid$122K

24GClaims3,643

24DCodes billed4

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Podiatrist providers in Ohio

Rank by total paid#46 of 237

Median peer was paid$21K

This provider vs. median5.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (01/19/2022).

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	2,863	$98K
2019	701	$20K
2020	79	$4K

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	82%	3,041	2,019	$100K
L3010	Foot, insert, removable, molded to patient model, longitudinal arch support, each	7.7%	148	66	$9K
20605		6.4%	223	166	$8K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3.9%	231	173	$5K

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.