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

Andrews, James

Andrews, James was paid $91K by Medicaid between Jan 2018 and Dec 2020, across 8 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 36% of everything it billed.

33Billing provider infoANDREWS, JAMES
MEMPHIS, TN 38157
33aNPI1255312336assigned 11/07/2005
28Total paid$91K
24GClaims2,075
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in Tennessee

Rank by total paid#8 of 35
Median peer was paid$17K
This provider vs. median5.5×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
20181,078$43K
2019649$28K
2020348$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 36% 1,005 682 $33K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 495 446 $24K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 23% 443 239 $21K
95810 Polysomnography; sleep staging with 4 or more additional parameters 8.8% 28 26 $8K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.3% 44 39 $3K
99222 Initial hospital care, per day, moderate complexity 1.3% 30 27 $1K
99223 Prolong inpt eval add15 m <1% 12 12 $586.97
71046 Radiologic examination, chest; 2 views <1% 18 12 $400.12

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.