Physician
Griffin, James
Griffin, James was paid $86K by Medicaid between Aug 2020 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoGRIFFIN, JAMES
ELGIN, IL 60123
ELGIN, IL 60123
33aNPI1134142722assigned 07/25/2006
33bProvider typeUrology Physician
28Total paid$86K
24GClaims3,160
24DCodes billed7
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Urology Physician providers in Illinois
Rank by total paid#23 of 219
Median peer was paid$5K
This provider vs. median16×
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 | 134 | $2K | |
| 2021 | 936 | $26K | |
| 2022 | 526 | $16K | |
| 2023 | 617 | $13K | |
| 2024incomplete | 947 | $29K |
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 | 32% | 654 | 615 | $27K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 29% | 583 | 548 | $25K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 440 | 423 | $14K |
| 51798 | 14% | 1,188 | 1,091 | $12K | |
| 99205 | Prolong outpt/office vis | 4.7% | 60 | 59 | $4K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 4.4% | 32 | 31 | $4K |
| 81003 | <1% | 203 | 182 | $410.87 |
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.