Newman, James

Newman, James was paid $79K by Medicaid between Jan 2018 and Oct 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.

33Billing provider infoNEWMAN, JAMES
SPRINGFIELD, IL 62702

33aNPI1164783619assigned 05/31/2012

33bProvider typeSports Medicine (Physical Medicine & Rehabilitation) Physician

28Total paid$79K

24GClaims1,923

24DCodes billed2

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Sports Medicine (Physical Medicine & Rehabilitation) Physician providers in Illinois

Rank by total paid#1 of 7

Median peer was paid$22K

This provider vs. median3.6×

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	240	$8K
2019	498	$19K
2020	437	$16K
2021	227	$11K
2022	385	$19K
2023	70	$3K
2024incomplete	66	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	65%	1,100	876	$51K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	35%	823	714	$28K

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.