Doherty, James

Doherty, James was paid $91K by Medicaid between May 2018 and Oct 2024, across 4 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 89% of everything it billed.

33Billing provider infoDOHERTY, JAMES
OAK LAWN, IL 60453

33aNPI1366589194assigned 01/31/2007

33bProvider typeSurgical Critical Care Physician

28Total paid$91K

24GClaims1,626

24DCodes billed4

24AFirst – last monthMay 2018 – Oct 2024

Compared with peers

Next to other Surgical Critical Care Physician providers in Illinois

Rank by total paid#4 of 27

Median peer was paid$8K

This provider vs. median11×

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	119	$4K
2019	61	$2K
2020	126	$6K
2021	294	$17K
2022	401	$25K
2023	382	$21K
2024incomplete	243	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	89%	1,526	596	$81K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	5.6%	54	51	$5K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	4.9%	33	14	$4K
99238	Hospital discharge day management, 30 minutes or less	<1%	13	12	$570.68

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.