Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1336389824assigned 02/24/2009
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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
20181,259$39K
20191,897$58K
2020960$30K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.