Physician
Gloor, James
Gloor, James was paid $7K by Medicaid between Feb 2018 and Jan 2020, across 3 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 56% of everything it billed.
33Billing provider infoGLOOR, JAMES
NORTH KINGSTOWN, RI 02852
NORTH KINGSTOWN, RI 02852
33aNPI1215964986assigned 06/27/2006
33bProvider typeGeneral Practice Physician
28Total paid$7K
24GClaims98
24DCodes billed3
24AFirst – last monthFeb 2018 – Jan 2020
Compared with peers
Next to other General Practice Physician providers in Rhode Island
Rank by total paid#5 of 6
Median peer was paid$12K
This provider vs. median0.5×
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 | 44 | $3K | |
| 2019 | 42 | $3K | |
| 2020 | 12 | $279.74 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 56% | 47 | 42 | $4K |
| 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 | 40% | 39 | 38 | $3K |
| 85027 | 4.2% | 12 | 12 | $279.74 |
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.