Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › RI › North Kingstown › NPI 1215964986
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
33aNPI1215964986assigned 06/27/2006
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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
201844$3K
201942$3K
202012$279.74
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.