Physician
Morse, James
Morse, James was paid $74K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 56% of everything it billed.
33Billing provider infoMORSE, JAMES
CANTON, IL 61520
CANTON, IL 61520
33aNPI1134135627assigned 08/01/2006
33bProvider typeFamily Medicine Physician
28Total paid$74K
24GClaims3,300
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#1,157 of 2,947
Median peer was paid$43K
This provider vs. median1.7×
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 | 655 | $8K | |
| 2019 | 411 | $6K | |
| 2020 | 444 | $11K | |
| 2021 | 412 | $11K | |
| 2022 | 518 | $14K | |
| 2023 | 450 | $11K | |
| 2024incomplete | 410 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 56% | 1,792 | 1,639 | $42K |
| 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 | 20% | 262 | 237 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.6% | 205 | 201 | $7K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 8.2% | 594 | 534 | $6K |
| 99307 | 4.0% | 417 | 399 | $3K | |
| 99310 | Prolong nursin fac eval 15m | 1.5% | 18 | 15 | $1K |
| 99318 | <1% | 12 | 12 | $138.60 |
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.