Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2020134$2K
2021936$26K
2022526$16K
2023617$13K
2024incomplete947$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.