Sullivan, James

Sullivan, James was paid $2K by Medicaid between Sep 2023 and Oct 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.

33Billing provider infoSULLIVAN, JAMES
GARDEN CITY, NY 11530

33aNPI1275697161assigned 12/22/2006

33bProvider typeRheumatology Physician

28Total paid$2K

24GClaims49

24DCodes billed2

24AFirst – last monthSep 2023 – Oct 2024

Compared with peers

Next to other Rheumatology Physician providers in New York

Rank by total paid#163 of 199

Median peer was paid$15K

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
2023	12	$195.83
2024incomplete	37	$1K

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	71%	36	36	$1K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	29%	13	13	$470.89

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.