Ziegler, James

Ziegler, James was paid $135K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 39% of everything it billed.

33Billing provider infoZIEGLER, JAMES
PROVIDENCE, RI 02903

33aNPI1346209459assigned 03/20/2006

33bProvider typePediatric Cardiology Physician

28Total paid$135K

24GClaims4,081

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Cardiology Physician providers in Rhode Island

Rank by total paid#4 of 11

Median peer was paid$39K

This provider vs. median3.5×

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	338	$2K
2019	255	$2K
2020	822	$54K
2021	788	$32K
2022	744	$14K
2023	714	$22K
2024incomplete	420	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	39%	245	231	$53K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	27%	524	474	$37K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	23%	3,158	2,872	$30K
93303	Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study	9.8%	49	41	$13K
93018		<1%	61	61	$1K
93320		<1%	16	16	$281.32
93325		<1%	28	28	$181.65

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.