Baldys, James

Baldys, James was paid $25K by Medicaid between Nov 2020 and Oct 2022, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.

33Billing provider infoBALDYS, JAMES
WILLIAMSPORT, PA 17702

33aNPI1306849518assigned 05/23/2005

33bProvider typeFamily Medicine Physician

28Total paid$25K

24GClaims608

24DCodes billed6

24AFirst – last monthNov 2020 – Oct 2022

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#1,249 of 2,756

Median peer was paid$19K

This provider vs. median1.3×

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
2020	52	$2K
2021	360	$16K
2022	196	$7K

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	64%	306	294	$16K
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%	145	137	$5K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	10.0%	61	56	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	4.9%	55	51	$1K
G0008	Administration of influenza virus vaccine	1.3%	29	29	$319.00
90756		<1%	12	12	$194.42

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.