J. W. Duncan MD a Medical Corporation
J. W. Duncan MD a Medical Corporation was paid $1.61M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoJ. W. DUNCAN MD A MEDICAL CORPORATION
LOS ANGELES, CA 90012
LOS ANGELES, CA 90012
33aNPI1205072154assigned 12/24/2008
33bProvider typeSpecialist
28Total paid$1.61M
24GClaims19,583
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#135 of 1,230
Median peer was paid$51K
This provider vs. median31×
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 | 2,398 | $94K | |
| 2019 | 2,491 | $169K | |
| 2020 | 1,729 | $136K | |
| 2021 | 1,683 | $154K | |
| 2022 | 2,814 | $262K | |
| 2023 | 4,535 | $448K | |
| 2024incomplete | 3,933 | $348K |
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 | 48% | 9,090 | 8,586 | $770K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 27% | 3,982 | 3,979 | $436K |
| 72110 | 8.0% | 3,361 | 3,286 | $129K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.2% | 369 | 367 | $52K |
| 95829 | 2.1% | 149 | 141 | $33K | |
| 63048 | 2.0% | 167 | 155 | $32K | |
| 63047 | 1.3% | 54 | 50 | $22K | |
| 72052 | 1.3% | 458 | 449 | $21K | |
| 72114 | 1.1% | 343 | 342 | $17K | |
| 22612 | <1% | 13 | 13 | $15K | |
| 72100 | <1% | 466 | 465 | $15K | |
| 22842 | <1% | 25 | 24 | $12K |
13 more codes
| 22614 | <1% | 26 | $10K | |
| 62367 | <1% | 178 | $10K | |
| 72081 | <1% | 351 | $8K | |
| 77003 | <1% | 285 | $7K | |
| 22853 | <1% | 25 | $6K | |
| 72295 | <1% | 52 | $5K | |
| 72040 | <1% | 98 | $3K | |
| 62323 | <1% | 12 | $2K | |
| 64483 | <1% | 12 | $1K | |
| 72084 | <1% | 27 | $974.07 | |
| 64484 | <1% | 12 | $830.28 | |
| 99205 | Prolong outpt/office vis | <1% | 14 | $717.81 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $527.32 |
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 officialDUNCAN, STEPHANIE (OFFICE MANAGER)