Physician
Sola, James
Sola, James was paid $17K by Medicaid between Jan 2018 and Jun 2022, across 6 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 32% of everything it billed.
33Billing provider infoSOLA, JAMES
GLEN CARBON, IL 62034
GLEN CARBON, IL 62034
33aNPI1306821616assigned 12/08/2005
33bProvider typeOrthopaedic Surgery Physician
28Total paid$17K
24GClaims829
24DCodes billed6
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Illinois
Rank by total paid#223 of 422
Median peer was paid$21K
This provider vs. median0.8×
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 | 277 | $5K | |
| 2019 | 414 | $8K | |
| 2020 | 108 | $3K | |
| 2021 | 16 | $601.51 | |
| 2022 | 14 | $460.15 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 32% | 157 | 145 | $5K |
| 20610 | 28% | 137 | 104 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 26% | 293 | 255 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 88 | 71 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.5% | 24 | 24 | $412.68 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2.1% | 130 | 104 | $357.58 |
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.