Physician
Stone, James
Stone, James was paid $135K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.
33Billing provider infoSTONE, JAMES
MONTPELIER, VT 05602
MONTPELIER, VT 05602
33aNPI1275587099assigned 05/19/2006
33bProvider typePsychiatry Physician
28Total paid$135K
24GClaims3,344
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Psychiatry Physician providers in Vermont
Rank by total paid#8 of 18
Median peer was paid$52K
This provider vs. median2.6×
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 | 704 | $22K | |
| 2019 | 609 | $19K | |
| 2020 | 548 | $21K | |
| 2021 | 440 | $21K | |
| 2022 | 318 | $17K | |
| 2023 | 408 | $20K | |
| 2024incomplete | 317 | $16K |
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 | 77% | 2,257 | 2,105 | $105K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 549 | 514 | $15K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 11% | 538 | 530 | $15K |
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.