Physician
NPI deactivated
Frommer, James
Frommer, James was paid $337K by Medicaid between Jan 2018 and Dec 2023, across 16 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoFROMMER, JAMES
DUNCANSVILLE, PA 16635
DUNCANSVILLE, PA 16635
33aNPI1235137746assigned 07/08/2005
33bProvider typeFamily Medicine Physician
28Total paid$337K
24GClaims5,818
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#218 of 2,756
Median peer was paid$19K
This provider vs. median18×
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 | 1,982 | $132K | |
| 2019 | 3,031 | $176K | |
| 2020 | 254 | $13K | |
| 2021 | 471 | $11K | |
| 2022 | 30 | $2K | |
| 2023 | 50 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 94% | 2,393 | 2,074 | $318K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 138 | 124 | $9K |
| 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 | 1.8% | 520 | 499 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 1,508 | 1,354 | $4K |
| 3078F | 0% | 269 | 249 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 384 | 380 | $0.00 |
| 99173 | 0% | 18 | 18 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 61 | 58 | $0.00 |
| 81002 | 0% | 19 | 19 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 364 | 354 | $0.00 |
| 3074F | 0% | 56 | 52 | $0.00 | |
| 92551 | 0% | 16 | 16 | $0.00 |
4 more codes
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.