Physician
James Wilson MD PLLC
James Wilson MD PLLC was paid $48K by Medicaid between Jan 2018 and Apr 2022, across 1 billing code. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.
33Billing provider infoJAMES WILSON MD PLLC
CASTLETON, NY 12033
CASTLETON, NY 12033
33aNPI1194082552assigned 04/23/2012
33bProvider typeFamily Medicine Physician
28Total paid$48K
24GClaims634
24DCodes billed1
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#770 of 2,605
Median peer was paid$10K
This provider vs. median4.7×
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 | 109 | $8K | |
| 2019 | 182 | $14K | |
| 2020 | 220 | $17K | |
| 2021 | 109 | $8K | |
| 2022 | 14 | $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% | 634 | 575 | $48K |
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 officialWILSON, JAMES (MD/OWNER)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.