Allen, James

Allen, James was paid $379K by Medicaid between Jan 2019 and Oct 2023, across 11 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 74% of everything it billed.

33Billing provider infoALLEN, JAMES
LEESBURG, FL 34748

33aNPI1073592812assigned 01/11/2006

33bProvider typeAnatomic Pathology & Clinical Pathology Physician

28Total paid$379K

24GClaims7,094

24DCodes billed11

24AFirst – last monthJan 2019 – Oct 2023

Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in Florida

Rank by total paid#33 of 207

Median peer was paid$39K

This provider vs. median9.6×

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
2019	3,203	$136K
2020	2,401	$151K
2021	691	$61K
2022	615	$23K
2023	184	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
88305	Level IV - Surgical pathology, gross and microscopic examination	74%	3,157	2,701	$278K
88312		15%	1,509	1,351	$57K
88313		5.7%	1,378	1,223	$21K
88342		2.7%	567	493	$10K
88142		2.0%	279	244	$7K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	<1%	35	33	$3K
88304		<1%	12	12	$444.17
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	55	51	$262.27
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	54	50	$257.40
87070		<1%	13	12	$163.03
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2	0%	35	33	$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.