Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Reid, James

Reid, James was paid $101K by Medicaid between Nov 2018 and Aug 2020, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 49% of everything it billed.

33Billing provider infoREID, JAMES
ALTON, IL 62002
33aNPI1184005910assigned 06/17/2015
28Total paid$101K
24GClaims2,632
24DCodes billed4
24AFirst – last monthNov 2018 – Aug 2020
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in Illinois

Rank by total paid#243 of 981
Median peer was paid$27K
This provider vs. median3.8×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
201858$2K
20191,418$50K
20201,156$48K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 49% 915 811 $49K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 27% 687 607 $27K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 24% 801 679 $24K
99053 0% 229 175 $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.