Physician
Campbell, James
Campbell, James was paid $1.43M by Medicaid between Jan 2018 and May 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoCAMPBELL, JAMES
FULTON, NY 13069
FULTON, NY 13069
33aNPI1235202557assigned 11/16/2006
33bProvider typePediatrics Physician
28Total paid$1.43M
24GClaims24,784
24DCodes billed22
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#222 of 1,983
Median peer was paid$17K
This provider vs. median84×
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 | 3,720 | $205K | |
| 2019 | 4,310 | $228K | |
| 2020 | 4,915 | $238K | |
| 2021 | 4,184 | $245K | |
| 2022 | 3,414 | $231K | |
| 2023 | 3,189 | $209K | |
| 2024incomplete | 1,052 | $74K |
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 | 48% | 9,728 | 8,691 | $686K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 1,922 | 1,920 | $183K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 4,343 | 4,305 | $164K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10.0% | 1,496 | 1,495 | $142K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.7% | 1,060 | 1,059 | $110K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.7% | 1,095 | 1,075 | $95K |
| 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 | 1.3% | 168 | 165 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 370 | 363 | $16K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 198 | 191 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 481 | 474 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | 12 | $1K |
| 99174 | <1% | 1,086 | 1,086 | $1K |
10 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.