Martin, James

Martin, James was paid $38K by Medicaid between Feb 2018 and Apr 2024, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 49% of everything it billed.

33Billing provider infoMARTIN, JAMES
BERWYN, IL 60402

33aNPI1235382011assigned 10/24/2008

33bProvider typeHospitalist Physician

28Total paid$38K

24GClaims1,109

24DCodes billed4

24AFirst – last monthFeb 2018 – Apr 2024

Compared with peers

Next to other Hospitalist Physician providers in Illinois

Rank by total paid#171 of 514

Median peer was paid$19K

This provider vs. median2.0×

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	20	$241.53
2020	254	$5K
2021	433	$15K
2022	218	$7K
2023	103	$6K
2024incomplete	81	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	49%	778	326	$18K
99223	Prolong inpt eval add15 m	33%	156	139	$13K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	12%	112	65	$4K
99239	Hospital discharge day management, more than 30 minutes	6.3%	63	57	$2K

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.