NP / PA
James Duncan MD Consulting Service PLLC
James Duncan MD Consulting Service PLLC was paid $7K by Medicaid between Nov 2020 and Nov 2024, across 3 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 77% of everything it billed.
33Billing provider infoJAMES DUNCAN MD CONSULTING SERVICE PLLC
DANVILLE, KY 40422
DANVILLE, KY 40422
33aNPI1245830017assigned 10/29/2020
33bProvider typeNurse Practitioner
28Total paid$7K
24GClaims1,392
24DCodes billed3
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#192 of 260
Median peer was paid$89K
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 | |
|---|---|---|---|
| 2020 | 82 | $84.38 | |
| 2021 | 286 | $2K | |
| 2022 | 306 | $2K | |
| 2023 | 381 | $2K | |
| 2024incomplete | 337 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 77% | 1,083 | 900 | $5K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 21% | 274 | 233 | $1K |
| 99307 | 2.4% | 35 | 29 | $157.91 |
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 officialDUNCAN, JAMES (OWNER)
| Provider | Location | Paid |
|---|---|---|
| James H Duncan DO INC | West Portsmouth, OH | $396K |
| Chelsea Chiropractic Center, PLC | Chelsea, MI | $50K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.