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
MEMPHIS, TN 38157
33aNPI1255312336assigned 11/07/2005
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
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
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 | 1,078 | $43K | |
| 2019 | 649 | $28K | |
| 2020 | 348 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.