Physician
Tatum, James
Tatum, James was paid $163K by Medicaid between Dec 2019 and Aug 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoTATUM, JAMES
ALIQUIPPA, PA 15001
ALIQUIPPA, PA 15001
33aNPI1083647564assigned 07/08/2006
33bProvider typeFamily Medicine Physician
28Total paid$163K
24GClaims5,889
24DCodes billed16
24AFirst – last monthDec 2019 – Aug 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#446 of 2,756
Median peer was paid$19K
This provider vs. median8.5×
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 | 12 | $569.00 | |
| 2020 | 137 | $5K | |
| 2021 | 1,736 | $48K | |
| 2022 | 1,812 | $54K | |
| 2023 | 1,941 | $48K | |
| 2024incomplete | 251 | $6K |
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 | 54% | 2,567 | 2,499 | $88K |
| 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 | 32% | 1,216 | 1,170 | $53K |
| 99051 | 9.6% | 663 | 654 | $16K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 132 | 128 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 276 | 274 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 15 | 13 | $193.73 |
| G0008 | Administration of influenza virus vaccine | <1% | 13 | 13 | $110.00 |
| 81002 | <1% | 27 | 26 | $94.04 | |
| 3078F | 0% | 71 | 69 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 24 | 24 | $0.00 |
| 99499 | 0% | 12 | 12 | $0.00 | |
| 3079F | 0% | 139 | 135 | $0.00 |
4 more codes
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.