James R. Higgins, M.D.Inc
James R. Higgins, M.D.Inc was paid $37K by Medicaid between Mar 2018 and Jun 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.
33Billing provider infoJAMES R. HIGGINS, M.D.INC
TULSA, OK 74145
TULSA, OK 74145
33aNPI1245337252assigned 09/20/2006
33bProvider typeSpecialist
28Total paid$37K
24GClaims1,471
24DCodes billed8
24AFirst – last monthMar 2018 – Jun 2024
Compared with peers
Next to other Specialist providers in Oklahoma
Rank by total paid#39 of 72
Median peer was paid$72K
This provider vs. median0.5×
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 | 82 | $760.37 | |
| 2019 | 178 | $2K | |
| 2020 | 69 | $1K | |
| 2021 | 282 | $6K | |
| 2022 | 420 | $9K | |
| 2023 | 288 | $10K | |
| 2024incomplete | 152 | $9K |
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 | 71% | 964 | 925 | $27K |
| 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 | 15% | 93 | 88 | $5K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 7.9% | 67 | 67 | $3K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 2.7% | 28 | 28 | $1K |
| 93880 | 2.0% | 41 | 41 | $733.22 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.0% | 252 | 248 | $376.51 |
| 99152 | <1% | 14 | 14 | $62.68 | |
| 93018 | <1% | 12 | 12 | $22.16 |
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.
From NPPES
Who's on the registration
Authorized officialHIGGINS, JAMES (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Coffey County Hospital | Burlington, KS | $88K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.