Physician
Pizza, James
Pizza, James was paid $470K by Medicaid between Mar 2019 and Dec 2024, across 12 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 37% of everything it billed.
33Billing provider infoPIZZA, JAMES
OCALA, FL 34471
OCALA, FL 34471
33aNPI1154352367assigned 07/05/2006
33bProvider typeOphthalmology Physician
28Total paid$470K
24GClaims10,200
24DCodes billed12
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Florida
Rank by total paid#18 of 262
Median peer was paid$9K
This provider vs. median54×
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 | |
|---|---|---|---|
| 2019 | 223 | $11K | |
| 2020 | 180 | $7K | |
| 2021 | 553 | $18K | |
| 2022 | 2,851 | $130K | |
| 2023 | 3,542 | $163K | |
| 2024incomplete | 2,851 | $143K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 37% | 1,160 | 1,092 | $174K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 757 | 703 | $89K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 14% | 752 | 683 | $68K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 448 | 426 | $52K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.0% | 1,078 | 740 | $23K |
| V2020 | Frames, purchases | 4.7% | 1,432 | 1,028 | $22K |
| 92015 | Determination of refractive state | 3.9% | 2,349 | 2,167 | $19K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.8% | 959 | 654 | $9K |
| 92250 | 1.5% | 714 | 669 | $7K | |
| 92083 | 1.3% | 524 | 487 | $6K | |
| 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% | 13 | 12 | $1K |
| 92341 | <1% | 14 | 12 | $237.87 |
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.