Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Frederick, James

Frederick, James was paid $77K by Medicaid between Jan 2018 and Nov 2021, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 97% of everything it billed.

33Billing provider infoFREDERICK, JAMES
ASHLAND, KY 41101
33aNPI1184656381assigned 07/07/2006
28Total paid$77K
24GClaims2,014
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Kentucky

Rank by total paid#20 of 53
Median peer was paid$23K
This provider vs. median3.4×

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$2.0K$4.0K2018201920202021202220232024
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
2018520$20K
2019516$20K
2020472$18K
2021506$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 97% 1,954 1,447 $74K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1.8% 31 24 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.1% 29 25 $836.62

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.