Physician
Duncan, James
Duncan, James was paid $15K by Medicaid between Mar 2018 and Jul 2018, across 1 billing code. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.
33Billing provider infoDUNCAN, JAMES
WEST PORTSMOUTH, OH 45663
WEST PORTSMOUTH, OH 45663
33aNPI1235216847assigned 11/01/2006
33bProvider typeAddiction Medicine (Family Medicine) Physician
28Total paid$15K
24GClaims221
24DCodes billed1
24AFirst – last monthMar 2018 – Jul 2018
Compared with peers
Next to other Addiction Medicine (Family Medicine) Physician providers in Ohio
Rank by total paid#24 of 29
Median peer was paid$192K
This provider vs. median0.1×
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 | 221 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 100% | 221 | 196 | $15K |
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.