Dale, James

Dale, James was paid $3K by Medicaid between Jan 2018 and Sep 2018, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.

33Billing provider infoDALE, JAMES
LURAY, VA 22835

33aNPI1336132265assigned 08/25/2005

33bProvider typeInternal Medicine Physician

28Total paid$3K

24GClaims81

24DCodes billed2

24AFirst – last monthJan 2018 – Sep 2018

Compared with peers

Next to other Internal Medicine Physician providers in Virginia

Rank by total paid#359 of 478

Median peer was paid$17K

This provider vs. median0.2×

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	81	$3K

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	95%	44	43	$2K
99309	Subsequent nursing facility care, per day, low to moderate complexity	5.5%	37	24	$144.35

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.