Physician
Hughes, James
Hughes, James was paid $302K by Medicaid between Jan 2018 and Nov 2019, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoHUGHES, JAMES
HOT SPRINGS, AR 71913
HOT SPRINGS, AR 71913
33aNPI1245231794assigned 08/09/2005
33bProvider typePediatrics Physician
28Total paid$302K
24GClaims9,343
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other Pediatrics Physician providers in Arkansas
Rank by total paid#52 of 108
Median peer was paid$225K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2018 | 5,300 | $170K | |
| 2019 | 4,043 | $132K |
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 | 54% | 4,962 | 4,274 | $162K |
| 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 | 13% | 615 | 576 | $40K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.0% | 394 | 373 | $21K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.7% | 382 | 368 | $20K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 314 | 301 | $16K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.0% | 297 | 279 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.1% | 422 | 389 | $9K |
| 90670 | <1% | 318 | 315 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 251 | 238 | $3K |
| 90633 | <1% | 252 | 240 | $2K | |
| 90688 | <1% | 235 | 230 | $2K | |
| 90648 | <1% | 163 | 160 | $2K |
11 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.