Physician
Whitman, James
Whitman, James was paid $214K by Medicaid between Mar 2018 and Mar 2023, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoWHITMAN, JAMES
FRAMINGHAM, MA 01701
FRAMINGHAM, MA 01701
33aNPI1356335004assigned 09/08/2005
33bProvider typePediatrics Physician
28Total paid$214K
24GClaims6,512
24DCodes billed25
24AFirst – last monthMar 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#274 of 1,273
Median peer was paid$24K
This provider vs. median8.9×
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 | 597 | $16K | |
| 2019 | 650 | $18K | |
| 2020 | 771 | $21K | |
| 2021 | 1,770 | $61K | |
| 2022 | 2,191 | $81K | |
| 2023 | 533 | $17K |
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 | 34% | 1,273 | 1,210 | $74K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 782 | 699 | $31K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 13% | 532 | 513 | $27K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 5.3% | 1,266 | 1,259 | $11K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 5.0% | 133 | 131 | $11K |
| 99173 | 4.9% | 478 | 478 | $10K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 4.3% | 384 | 368 | $9K |
| 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 | 3.7% | 76 | 75 | $8K |
| 96127 | 2.7% | 571 | 571 | $6K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.0% | 407 | 405 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.6% | 41 | 41 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 37 | 37 | $3K |
13 more codes
| 90461 | 1.1% | 62 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.0% | 28 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 25 | $2K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 54 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 81 | $2K |
| 87634 | <1% | 17 | $1K | |
| 0072A | <1% | 21 | $957.60 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26 | $928.20 |
| 0071A | <1% | 23 | $920.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 71 | $850.11 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 53 | $366.17 |
| 87081 | <1% | 55 | $352.20 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $293.60 |
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.