Murphy, James

Murphy, James was paid $23K by Medicaid between Oct 2019 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoMURPHY, JAMES
WATSEKA, IL 60970

33aNPI1336183854assigned 06/15/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$23K

24GClaims874

24DCodes billed5

24AFirst – last monthOct 2019 – Nov 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Illinois

Rank by total paid#198 of 422

Median peer was paid$21K

This provider vs. median1.1×

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
2019	78	$1K
2020	440	$11K
2022	87	$3K
2023	165	$4K
2024incomplete	104	$4K

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	75%	647	507	$18K
73610		11%	123	89	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	8.8%	54	52	$2K
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	4.0%	27	20	$936.10
73630		<1%	23	14	$182.75

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.