Physician
Sullivan, James
Sullivan, James was paid $76K by Medicaid between Jan 2018 and Dec 2018, across 5 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 52% of everything it billed.
33Billing provider infoSULLIVAN, JAMES
GOLDSBORO, NC 27534
GOLDSBORO, NC 27534
33aNPI1164713756assigned 04/29/2011
33bProvider typeHospitalist Physician
28Total paid$76K
24GClaims632
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Hospitalist Physician providers in North Carolina
Rank by total paid#29 of 60
Median peer was paid$63K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2018 | 632 | $76K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 52% | 294 | 211 | $40K |
| 99239 | Hospital discharge day management, more than 30 minutes | 23% | 202 | 189 | $18K |
| 99220 | 18% | 94 | 87 | $14K | |
| 99223 | Prolong inpt eval add15 m | 6.1% | 30 | 29 | $5K |
| 99217 | <1% | 12 | 12 | $762.75 |
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.