Physician
Lim, James
Lim, James was paid $899K by Medicaid between Nov 2020 and Dec 2024, across 10 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 62% of everything it billed.
33Billing provider infoLIM, JAMES
IRWIN, PA 15642
IRWIN, PA 15642
33aNPI1326167883assigned 03/28/2007
33bProvider typeFamily Medicine Physician
28Total paid$899K
24GClaims10,741
24DCodes billed10
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#69 of 2,756
Median peer was paid$19K
This provider vs. median47×
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 | 246 | $19K | |
| 2021 | 1,507 | $146K | |
| 2022 | 2,611 | $223K | |
| 2023 | 3,278 | $291K | |
| 2024incomplete | 3,099 | $220K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 62% | 2,056 | 2,051 | $560K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 11% | 1,612 | 1,558 | $100K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.7% | 1,980 | 1,806 | $78K |
| 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 | 8.1% | 1,349 | 1,245 | $73K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 3.1% | 660 | 613 | $28K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.0% | 2,037 | 1,915 | $27K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 2.4% | 126 | 126 | $21K |
| 80305 | 1.2% | 860 | 787 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 47 | 44 | $1K |
| 3074F | 0% | 14 | 14 | $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.