Nemunaitis, James

Nemunaitis, James was paid $30K by Medicaid between Sep 2022 and Nov 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.

33Billing provider infoNEMUNAITIS, JAMES
MEADVILLE, PA 16335

33aNPI1295185130assigned 06/21/2016

33bProvider typeOrthopaedic Surgery Physician

28Total paid$30K

24GClaims871

24DCodes billed7

24AFirst – last monthSep 2022 – Nov 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Pennsylvania

Rank by total paid#75 of 291

Median peer was paid$7K

This provider vs. median4.0×

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
2022	196	$6K
2023	478	$16K
2024incomplete	197	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	38%	241	237	$11K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	27%	149	148	$8K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	197	184	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	11%	131	118	$3K
20610		3.7%	72	69	$1K
73030		<1%	13	13	$129.64
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	0%	68	66	$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.