Twist, James

Twist, James was paid $53K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.

33Billing provider infoTWIST, JAMES
KENMORE, NY 14223

33aNPI1316929169assigned 11/17/2005

33bProvider typeOphthalmology Physician

28Total paid$53K

24GClaims1,800

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#480 of 1,085

Median peer was paid$34K

This provider vs. median1.6×

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	280	$7K
2019	347	$11K
2020	209	$5K
2021	246	$5K
2022	185	$4K
2023	251	$9K
2024incomplete	282	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	50%	864	807	$26K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	49%	912	817	$26K
92134		<1%	24	24	$427.99

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.