Mccombs, James
Mccombs, James was paid $225K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99284, emergency room visit (serious) — 35% of everything it billed.
33Billing provider infoMCCOMBS, JAMES
CHICAGO, IL 60654
CHICAGO, IL 60654
33aNPI1336320860assigned 11/27/2007
33bProvider typePersonal Emergency Response Attendant
28Total paid$225K
24GClaims5,157
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Personal Emergency Response Attendant providers in Illinois
Rank by total paid#3 of 6
Median peer was paid$210K
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 | |
|---|---|---|---|
| 2018 | 641 | $28K | |
| 2019 | 1,074 | $47K | |
| 2020 | 1,018 | $48K | |
| 2021 | 1,045 | $46K | |
| 2022 | 918 | $37K | |
| 2023 | 309 | $12K | |
| 2024incomplete | 152 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 35% | 1,522 | 1,428 | $79K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 33% | 1,120 | 1,034 | $74K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 20% | 1,251 | 1,163 | $46K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.4% | 226 | 215 | $8K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 3.2% | 286 | 257 | $7K |
| 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 | 2.7% | 102 | 95 | $6K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.3% | 632 | 564 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 18 | 15 | $254.50 |
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.