Mark, James

Mark, James was paid $8K by Medicaid between Jun 2019 and Nov 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 99% of everything it billed.

33Billing provider infoMARK, JAMES
GENEVA, NY 14456

33aNPI1164443545assigned 07/21/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$8K

24GClaims432

24DCodes billed2

24AFirst – last monthJun 2019 – Nov 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in New York

Rank by total paid#166 of 429

Median peer was paid$4K

This provider vs. median2.2×

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	13	$67.19
2020	55	$618.91
2021	124	$2K
2022	97	$2K
2023	68	$1K
2024incomplete	75	$2K

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	99%	419	391	$8K
73562		<1%	13	12	$67.19

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.