James, Miriam

James, Miriam was paid $41K by Medicaid between Jan 2018 and Oct 2023, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoJAMES, MIRIAM
MOUNT VERNON, NY 10550

33aNPI1184791071assigned 11/29/2006

33bProvider typeFamily Medicine Physician

28Total paid$41K

24GClaims553

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#829 of 2,605

Median peer was paid$10K

This provider vs. median4.0×

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	15	$1K
2019	93	$4K
2020	207	$14K
2021	112	$10K
2022	16	$2K
2023	110	$9K

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	55%	276	235	$22K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	190	163	$11K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	12%	44	36	$5K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	5.7%	19	18	$2K
83036	Hemoglobin; glycosylated (A1C)	<1%	12	12	$127.68
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	12	12	$38.04

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.