James L Carlisle MD PA

James L Carlisle MD PA was paid $8K by Medicaid between Jan 2018 and Apr 2022, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.

33Billing provider infoJAMES L CARLISLE MD PA
GRAPEVINE, TX 76051

33aNPI1174956106assigned 08/13/2013

33bProvider typeClinical Medical Laboratory

28Total paid$8K

24GClaims2,084

24DCodes billed5

24AFirst – last monthJan 2018 – Apr 2022

Compared with peers

Next to other Clinical Medical Laboratory providers in Texas

Rank by total paid#245 of 436

Median peer was paid$17K

This provider vs. median0.5×

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	686	$2K
2019	633	$2K
2020	434	$2K
2021	209	$136.02
2022	122	$1K

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	100%	1,239	1,151	$8K
80305		<1%	764	723	$9.52
93923		0%	25	25	$0.00
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	32	32	$0.00
36415	Collection of venous blood by venipuncture	0%	24	24	$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.

From NPPES

Who's on the registration

Authorized officialCARLILSE, JAMES (PHYSICIAN)