Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IN › Fort Wayne › NPI 1255657151
Physician

Kim, James

Kim, James was paid $252K by Medicaid between Jan 2018 and Jun 2022, across 6 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 70% of everything it billed.

33Billing provider infoKIM, JAMES
FORT WAYNE, IN 46804
33aNPI1255657151assigned 04/16/2010
33bProvider typeOphthalmology Physician
28Total paid$252K
24GClaims2,829
24DCodes billed6
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers

Next to other Ophthalmology Physician providers in Indiana

Rank by total paid#28 of 107
Median peer was paid$43K
This provider vs. median5.9×

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$10K$20K2018201920202021202220232024
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
2018768$61K
2019674$58K
2020660$59K
2021528$55K
2022199$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
67028 Intravitreal injection of a pharmacologic agent 70% 1,016 957 $177K
92134 16% 1,344 1,257 $41K
J9035 Injection, bevacizumab, 10 mg 7.7% 310 207 $19K
J2778 Injection, ranibizumab, 0.1 mg 4.6% 19 12 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.2% 125 111 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 15 15 $468.93

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.