Plaire, James
Plaire, James was paid $307K by Medicaid between Jan 2018 and Jan 2019, across 11 billing codes. Its largest line is 14040, — 29% of everything it billed.
33Billing provider infoPLAIRE, JAMES
LAS VEGAS, NV 89113
LAS VEGAS, NV 89113
33aNPI1104816248assigned 10/27/2005
33bProvider typeSpecialist
28Total paid$307K
24GClaims1,720
24DCodes billed11
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other Specialist providers in Nevada
Rank by total paid#30 of 98
Median peer was paid$76K
This provider vs. median4.0×
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 | 1,706 | $306K | |
| 2019 | 14 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 14040 | 29% | 274 | 247 | $88K | |
| 54360 | 20% | 105 | 86 | $61K | |
| 54300 | 12% | 61 | 56 | $36K | |
| 54161 | 11% | 364 | 336 | $35K | |
| 99243 | 8.5% | 254 | 235 | $26K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 6.0% | 259 | 245 | $18K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 202 | 196 | $14K |
| 54304 | 4.4% | 17 | 17 | $13K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.8% | 83 | 77 | $8K |
| 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 | 2.3% | 89 | 75 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $541.32 |
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.