NP / PA
Ndungu, James
Ndungu, James was paid $86K by Medicaid between Mar 2021 and Sep 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
33Billing provider infoNDUNGU, JAMES
YORK, PA 17401
YORK, PA 17401
33aNPI1144570342assigned 09/14/2012
33bProvider typeFamily Nurse Practitioner
28Total paid$86K
24GClaims3,283
24DCodes billed7
24AFirst – last monthMar 2021 – Sep 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Pennsylvania
Rank by total paid#157 of 1,075
Median peer was paid$8K
This provider vs. median10×
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 | 344 | $8K | |
| 2022 | 806 | $17K | |
| 2023 | 1,411 | $35K | |
| 2024incomplete | 722 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 76% | 1,895 | 1,595 | $65K |
| 80305 | 17% | 1,258 | 1,056 | $14K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.2% | 14 | 13 | $4K |
| 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 | 1.3% | 19 | 18 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.1% | 72 | 66 | $963.93 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $697.70 |
| 3008F | 0% | 13 | 13 | $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.