Physician
Wilkens, James
Wilkens, James was paid $133K by Medicaid between Nov 2020 and Oct 2024, across 9 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoWILKENS, JAMES
TITUSVILLE, PA 16354
TITUSVILLE, PA 16354
33aNPI1104821396assigned 06/15/2005
33bProvider typeInternal Medicine Physician
28Total paid$133K
24GClaims2,591
24DCodes billed9
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#165 of 1,726
Median peer was paid$6K
This provider vs. median20×
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 | |
|---|---|---|---|
| 2020 | 64 | $7K | |
| 2021 | 592 | $26K | |
| 2022 | 529 | $27K | |
| 2023 | 880 | $45K | |
| 2024incomplete | 526 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 761 | 647 | $131K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 169 | 159 | $1K |
| 3028F | 0% | 233 | 213 | $0.00 | |
| 3078F | 0% | 149 | 137 | $0.00 | |
| 3074F | 0% | 332 | 307 | $0.00 | |
| 2000F | 0% | 633 | 556 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 43 | 40 | $0.00 |
| 2001F | 0% | 212 | 199 | $0.00 | |
| 3079F | 0% | 59 | 55 | $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.