Physician
Lally, James
Lally, James was paid $503K by Medicaid between Jan 2018 and Mar 2024, across 13 billing codes. Its largest line is G0300, Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes — 93% of everything it billed.
33Billing provider infoLALLY, JAMES
CHINO, CA 91710
CHINO, CA 91710
33aNPI1285633867assigned 07/18/2005
33bProvider typeFamily Medicine Physician
28Total paid$503K
24GClaims6,399
24DCodes billed13
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#258 of 2,511
Median peer was paid$13K
This provider vs. median39×
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 | 1,661 | $0.00 | |
| 2019 | 303 | $23K | |
| 2020 | 1,237 | $114K | |
| 2021 | 915 | $105K | |
| 2022 | 636 | $73K | |
| 2023 | 1,163 | $133K | |
| 2024incomplete | 484 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | 93% | 4,389 | 670 | $468K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 6.9% | 336 | 234 | $35K |
| G0162 | Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting) | <1% | 13 | 13 | $390.00 |
| 80053 | Comprehensive metabolic panel | 0% | 281 | 271 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 174 | 174 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 254 | 246 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 288 | 273 | $0.00 |
| 84436 | 0% | 120 | 119 | $0.00 | |
| 84479 | 0% | 103 | 102 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 199 | 195 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 46 | 46 | $0.00 |
| 81001 | 0% | 13 | 13 | $0.00 |
1 more codes
| 80061 | Lipid panel | 0% | 183 | $0.00 |
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.