Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Lynwood › NPI 1326414491
Physician

James E. Saunders, M.D., INC.

James E. Saunders, M.D., INC. was paid $853K by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 99394, Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) — 18% of everything it billed.

33Billing provider infoJAMES E. SAUNDERS, M.D., INC.
LYNWOOD, CA 90262
33aNPI1326414491assigned 08/12/2015
28Total paid$853K
24GClaims96,101
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in California

Rank by total paid#9 of 66
Median peer was paid$61K
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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
201815,957$141K
201920,489$180K
202015,346$123K
202112,742$158K
202211,493$124K
202312,902$103K
2024incomplete7,172$24K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 18% 5,188 5,168 $156K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 18% 5,900 5,877 $150K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15% 16,902 15,331 $126K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12% 3,773 3,751 $101K
92551 5.5% 12,251 12,246 $47K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5.5% 1,050 1,031 $47K
90651 3.9% 2,100 2,087 $34K
90686 2.2% 3,589 3,581 $19K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2.0% 870 866 $17K
0001A 1.9% 413 413 $16K
0002A 1.8% 378 377 $15K
92552 1.6% 1,338 1,338 $14K
56 more codes
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.6% 4,239 $13K
0071A 1.2% 259 $10K
0072A <1% 189 $8K
0124A <1% 189 $8K
90670 <1% 1,289 $6K
97802 <1% 6,586 $6K
90734 <1% 1,575 $5K
81000 <1% 6,481 $5K
90480 <1% 108 $4K
90697 <1% 55 $4K
0004A <1% 82 $3K
99173 <1% 2,076 $3K
90698 <1% 711 $3K
90472 Immunization administration, each additional vaccine (list separately) <1% 424 $3K
0054A <1% 72 $3K
90620 <1% 887 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 115 $2K
90744 <1% 443 $2K
0154A <1% 48 $2K
90633 <1% 661 $2K
99381 <1% 31 $2K
90681 <1% 184 $1K
90674 <1% 279 $1K
0121A <1% 30 $1K
90710 <1% 322 $1K
90715 <1% 410 $877.50
0074A <1% 21 $840.00
99383 <1% 15 $791.14
99384 <1% 12 $706.28
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 125 $681.66
91320 <1% 74 $628.00
90696 <1% 275 $594.00
90688 <1% 99 $519.20
81003 <1% 207 $489.47
0081A <1% 12 $480.00
90656 <1% 118 $477.00
90685 <1% 34 $451.12
90671 <1% 168 $450.00
90707 <1% 99 $306.00
90716 <1% 98 $171.00
90648 <1% 51 $153.00
90700 <1% 87 $117.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 36 $60.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 35 $60.00
96127 <1% 882 $48.00
94760 <1% 72 $22.12
J7510 Prednisolone oral, per 5 mg <1% 97 $12.00
92081 <1% 8,999 $11.02
3078F 0% 241 $0.00
96156 0% 400 $0.00
3074F 0% 248 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 1,994 $0.00
96151 0% 32 $0.00
99213 Doctor's office visit, returning patient (routine) 0% 41 $0.00
91319 0% 19 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 0% 13 $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.

From NPPES

Who's on the registration

Authorized officialSAUNDERS, BETTYE (OFFICE ADMINISTRATOR)