Rose, James

Rose, James was paid $7K by Medicaid between Dec 2022 and Apr 2023, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoROSE, JAMES
CORPUS CHRISTI, TX 78413

33aNPI1225192248assigned 12/21/2006

33bProvider typeGeneral Practice Physician

28Total paid$7K

24GClaims205

24DCodes billed3

24AFirst – last monthDec 2022 – Apr 2023

Compared with peers

Next to other General Practice Physician providers in Texas

Rank by total paid#77 of 113

Median peer was paid$22K

This provider vs. median0.3×

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
2022	74	$2K
2023	131	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	59%	123	107	$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	35%	47	45	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	5.7%	35	31	$380.00

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.