Physician
Joseph, James
Joseph, James was paid $1.80M by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoJOSEPH, JAMES
NORTH CHICAGO, IL 60064
NORTH CHICAGO, IL 60064
33aNPI1083660229assigned 05/26/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.80M
24GClaims39,942
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#50 of 2,947
Median peer was paid$43K
This provider vs. median42×
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 | 3,511 | $129K | |
| 2019 | 8,518 | $355K | |
| 2020 | 7,560 | $357K | |
| 2021 | 8,308 | $371K | |
| 2022 | 7,295 | $364K | |
| 2023 | 4,368 | $211K | |
| 2024incomplete | 382 | $18K |
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 | 41% | 16,417 | 13,696 | $735K |
| 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 | 18% | 5,023 | 4,509 | $328K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.6% | 1,652 | 1,587 | $137K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 7.4% | 1,560 | 1,403 | $133K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 1,481 | 1,431 | $111K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.2% | 903 | 869 | $76K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.2% | 1,497 | 1,396 | $76K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.6% | 2,701 | 2,483 | $65K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 553 | 502 | $42K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,201 | 1,406 | $17K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 270 | 253 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 616 | 501 | $12K |
30 more codes
| 0001A | <1% | 184 | $7K | |
| 0002A | <1% | 150 | $6K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 380 | $6K |
| 86328 | <1% | 95 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 248 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 45 | $3K |
| 83655 | <1% | 263 | $3K | |
| 81002 | <1% | 1,105 | $3K | |
| 90734 | <1% | 434 | $3K | |
| 99402 | <1% | 94 | $3K | |
| 90651 | <1% | 249 | $2K | |
| 99000 | <1% | 65 | $2K | |
| 0012A | <1% | 35 | $1K | |
| 0071A | <1% | 35 | $1K | |
| 81025 | <1% | 289 | $1K | |
| 90715 | <1% | 177 | $1K | |
| 0011A | <1% | 30 | $1K | |
| 0004A | <1% | 26 | $1K | |
| 85018 | <1% | 322 | $747.04 | |
| 85014 | <1% | 309 | $716.88 | |
| 90633 | <1% | 97 | $620.80 | |
| 83014 | <1% | 91 | $590.35 | |
| 90670 | <1% | 80 | $512.00 | |
| 90710 | <1% | 73 | $460.80 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 28 | $347.18 |
| 90648 | <1% | 43 | $275.20 | |
| 90696 | <1% | 43 | $268.80 | |
| 90620 | <1% | 38 | $243.20 | |
| 90723 | <1% | 13 | $83.20 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 27 | $0.17 |
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.