Sizemore, James

Sizemore, James was paid $2K by Medicaid between Mar 2021 and Jun 2021, across 2 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 62% of everything it billed.

33Billing provider infoSIZEMORE, JAMES
CHATTANOOGA, TN 37403

33aNPI1124021340assigned 05/23/2005

33bProvider typeInfectious Disease Physician

28Total paid$2K

24GClaims91

24DCodes billed2

24AFirst – last monthMar 2021 – Jun 2021

Compared with peers

Next to other Infectious Disease Physician providers in Tennessee

Rank by total paid#29 of 35

Median peer was paid$31K

This provider vs. median0.1×

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
2021	91	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	62%	71	58	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	38%	20	18	$662.20

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.