Physician
James B Carr MD INC
James B Carr MD INC was paid $48K by Medicaid between Aug 2018 and Aug 2023, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 17% of everything it billed.
33Billing provider infoJAMES B CARR MD INC
TEMPLETON, CA 93465
TEMPLETON, CA 93465
33aNPI1184813669assigned 10/19/2007
33bProvider typeOrthopaedic Surgery of the Spine Physician
28Total paid$48K
24GClaims1,082
24DCodes billed8
24AFirst – last monthAug 2018 – Aug 2023
Compared with peers
Next to other Orthopaedic Surgery of the Spine Physician providers in California
Rank by total paid#14 of 35
Median peer was paid$24K
This provider vs. median2.0×
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 | 30 | $3K | |
| 2021 | 1,007 | $43K | |
| 2022 | 32 | $1K | |
| 2023 | 13 | $2K |
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 | 17% | 69 | 65 | $8K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 17% | 118 | 114 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 15% | 222 | 219 | $7K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 13% | 267 | 259 | $6K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 11% | 137 | 137 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 11% | 55 | 55 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 9.3% | 92 | 90 | $4K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 5.7% | 122 | 118 | $3K |
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 officialKROEKER, KELLIE (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| William F Sima MD INC | Templeton, CA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.