Fox, James

Fox, James was paid $10K by Medicaid between Jan 2018 and Feb 2019, across 5 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 48% of everything it billed.

33Billing provider infoFOX, JAMES
GRAND JUNCTION, CO 81501

33aNPI1295997351assigned 06/30/2008

33bProvider typeOphthalmology Physician

28Total paid$10K

24GClaims218

24DCodes billed5

24AFirst – last monthJan 2018 – Feb 2019

Compared with peers

Next to other Ophthalmology Physician providers in Colorado

Rank by total paid#40 of 56

Median peer was paid$50K

This provider vs. median0.2×

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	151	$4K
2019	67	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	48%	16	12	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	33%	120	88	$3K
92136		13%	52	48	$1K
92250		4.9%	13	12	$505.86
92083		<1%	17	12	$91.36

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.