Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Glen Carbon › NPI 1306821616
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
33aNPI1306821616assigned 12/08/2005
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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2018277$5K
2019414$8K
2020108$3K
202116$601.51
202214$460.15
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.