Physician
Gardner, James
Gardner, James was paid $38K by Medicaid between Dec 2020 and Feb 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.
33Billing provider infoGARDNER, JAMES
NEW WILMINGTON, PA 16142
NEW WILMINGTON, PA 16142
33aNPI1194766162assigned 06/09/2006
33bProvider typeFamily Medicine Physician
28Total paid$38K
24GClaims1,096
24DCodes billed6
24AFirst – last monthDec 2020 – Feb 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#1,055 of 2,756
Median peer was paid$19K
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 | |
|---|---|---|---|
| 2020 | 17 | $897.90 | |
| 2021 | 309 | $13K | |
| 2022 | 314 | $11K | |
| 2023 | 430 | $13K | |
| 2024incomplete | 26 | $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 | 70% | 649 | 612 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 363 | 344 | $11K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 15 | 15 | $171.36 |
| 3078F | 0% | 14 | 12 | $0.00 | |
| 3074F | 0% | 29 | 28 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 26 | 26 | $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.