Physician
Stirbl, James
Stirbl, James was paid $997K by Medicaid between Jan 2018 and Feb 2023, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoSTIRBL, JAMES
COSTA MESA, CA 92627
COSTA MESA, CA 92627
33aNPI1326131640assigned 09/30/2006
33bProvider typeClinical Pathology/Laboratory Medicine Physician
28Total paid$997K
24GClaims80,469
24DCodes billed49
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Clinical Pathology/Laboratory Medicine Physician providers in California
Rank by total paid#6 of 21
Median peer was paid$69K
This provider vs. median14×
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 | 9,193 | $137K | |
| 2019 | 16,372 | $196K | |
| 2020 | 14,597 | $138K | |
| 2021 | 18,767 | $230K | |
| 2022 | 19,584 | $266K | |
| 2023 | 1,956 | $30K |
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 | 36% | 12,625 | 8,311 | $356K |
| 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 | 19% | 4,276 | 3,368 | $189K |
| 96156 | 17% | 2,091 | 1,990 | $171K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.8% | 600 | 508 | $48K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.8% | 426 | 400 | $48K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 422 | 344 | $28K |
| 59425 | 2.1% | 273 | 229 | $21K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.5% | 1,452 | 1,407 | $15K |
| 96150 | 1.3% | 619 | 616 | $13K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 1.2% | 159 | 139 | $12K |
| 92551 | 1.2% | 843 | 833 | $12K | |
| G9920 | Screening performed and negative | <1% | 253 | 250 | $9K |
37 more codes
| 99385 | <1% | 61 | $8K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 217 | $7K |
| 96151 | <1% | 262 | $6K | |
| 99406 | <1% | 2,172 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 154 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 129 | $5K |
| 99401 | <1% | 596 | $4K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 147 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 57 | $4K |
| 96127 | <1% | 2,421 | $4K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,439 | $4K |
| 99403 | <1% | 453 | $4K | |
| 90656 | <1% | 178 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 41 | $2K |
| 85018 | <1% | 1,328 | $2K | |
| 81003 | <1% | 1,213 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 47 | $922.35 |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 94 | $798.95 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 159 | $688.58 |
| 99000 | <1% | 147 | $528.17 | |
| 81000 | <1% | 182 | $445.41 | |
| 81002 | <1% | 233 | $336.98 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 42 | $201.24 |
| 82962 | <1% | 64 | $107.17 | |
| 81025 | <1% | 12 | $28.00 | |
| H0049 | Alcohol and/or drug screening | <1% | 15 | $24.00 |
| 99173 | <1% | 655 | $4.03 | |
| 3078F | 0% | 9,246 | $0.00 | |
| 3077F | 0% | 2,060 | $0.00 | |
| 99072 | 0% | 244 | $0.00 | |
| 3079F | 0% | 4,084 | $0.00 | |
| 3074F | 0% | 10,507 | $0.00 | |
| 3080F | 0% | 1,027 | $0.00 | |
| 3008F | 0% | 14,796 | $0.00 | |
| 3075F | 0% | 1,924 | $0.00 | |
| 99386 | 0% | 12 | $0.00 | |
| 3044F | 0% | 12 | $0.00 |
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.