NP / PA
Glass, James
Glass, James was paid $127K by Medicaid between Jan 2018 and Dec 2020, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoGLASS, JAMES
KINGSPORT, TN 37660
KINGSPORT, TN 37660
33aNPI1336389824assigned 02/24/2009
33bProvider typeFamily Nurse Practitioner
28Total paid$127K
24GClaims4,116
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Family Nurse Practitioner providers in Tennessee
Rank by total paid#128 of 687
Median peer was paid$15K
This provider vs. median8.7×
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 | 1,259 | $39K | |
| 2019 | 1,897 | $58K | |
| 2020 | 960 | $30K |
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 | 63% | 2,077 | 1,864 | $80K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 27% | 700 | 575 | $34K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.7% | 597 | 265 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.7% | 652 | 607 | $6K |
| 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 | <1% | 17 | 15 | $831.62 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 57 | 37 | $436.74 |
| 81002 | <1% | 16 | 14 | $27.10 |
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.