Vales, James

Vales, James was paid $23K by Medicaid between Jan 2018 and Dec 2018, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 96% of everything it billed.

33Billing provider infoVALES, JAMES
NORMAL, IL 61761

33aNPI1083724405assigned 08/30/2006

33bProvider typeFamily Medicine Physician

28Total paid$23K

24GClaims570

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2018

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#1,791 of 2,947

Median peer was paid$43K

This provider vs. median0.5×

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
2018	570	$23K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	96%	478	409	$22K
69210		4.2%	92	85	$954.82

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.