Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Thomas, James

Thomas, James was paid $175K by Medicaid between Jan 2018 and Sep 2021, across 4 billing codes. Its largest line is 99283, emergency room visit (moderate) — 45% of everything it billed.

33Billing provider infoTHOMAS, JAMES
URBANA, IL 61801
33aNPI1245298322assigned 05/01/2006
28Total paid$175K
24GClaims4,448
24DCodes billed4
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#876 of 1,980
Median peer was paid$150K
This provider vs. median1.2×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,328$48K
20191,622$62K
20201,297$52K
2021201$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 45% 2,450 2,169 $78K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 29% 784 717 $50K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 22% 896 815 $39K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4.3% 318 267 $7K

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.