Thomas, James

Thomas, James was paid $325K by Medicaid between Jan 2018 and Sep 2024, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 41% of everything it billed.

33Billing provider infoTHOMAS, JAMES
BELLEVILLE, IL 62220

33aNPI1316915218assigned 03/08/2006

33bProvider typeEmergency Medicine Physician

28Total paid$325K

24GClaims5,723

24DCodes billed5

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#379 of 1,980

Median peer was paid$150K

This provider vs. median2.2×

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	475	$20K
2019	979	$40K
2020	968	$49K
2021	1,065	$70K
2022	1,073	$72K
2023	838	$51K
2024incomplete	325	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	41%	1,920	1,763	$133K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	39%	2,157	1,992	$126K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	17%	1,509	1,381	$54K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	3.7%	124	120	$12K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	13	13	$375.44

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.