Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JAMES H DUNCAN DO INC

NPI: 1295047348 · WEST PORTSMOUTH, OH 45663 · Family Medicine Physician · NPI assigned 07/06/2010

$396K
Total Medicaid Paid
13,341
Total Claims
11,426
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUNCAN, JAMES (PRESIDENT)
NPI Enumeration Date07/06/2010

Related Entities

Other providers sharing the same authorized official: DUNCAN, JAMES

ProviderCityStateTotal Paid
CHELSEA CHIROPRACTIC CENTER, PLC CHELSEA MI $50K
JAMES DUNCAN MD CONSULTING SERVICE PLLC DANVILLE KY $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,315 $34K
2019 2,261 $63K
2020 1,477 $61K
2021 1,532 $56K
2022 2,249 $61K
2023 2,114 $63K
2024 2,393 $58K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,800 6,584 $376K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 100 93 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 137 108 $2K
36416 1,377 1,190 $2K
82947 1,376 1,186 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 50 42 $2K
83036 Hemoglobin; glycosylated (A1C) 513 468 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 81 68 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 13 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 21 21 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 142 110 $1K
96127 179 156 $678.99
93000 49 48 $592.06
90756 30 29 $397.09
90686 14 14 $198.09
90688 20 17 $148.25
99406 17 17 $77.32
G0444 Annual depression screening, 5 to 15 minutes 255 230 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 163 146 $0.00
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 233 208 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 135 118 $0.00
99000 217 197 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 121 106 $0.00
1000F 295 257 $0.00