Physician
James J. Demarco M.D.
James J. Demarco M.D. was paid $89K by Medicaid between Jan 2018 and Aug 2024, across 5 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 52% of everything it billed.
33Billing provider infoJAMES J. DEMARCO M.D.
CLARKSBURG, WV 26301
CLARKSBURG, WV 26301
33aNPI1386769206assigned 03/20/2007
33bProvider typeNephrology Physician
28Total paid$89K
24GClaims2,280
24DCodes billed5
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Nephrology Physician providers in West Virginia
Rank by total paid#8 of 14
Median peer was paid$89K
This provider vs. median1.0×
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 | 888 | $40K | |
| 2019 | 1,116 | $39K | |
| 2020 | 220 | $8K | |
| 2022 | 44 | $1K | |
| 2024incomplete | 12 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 52% | 993 | 348 | $46K |
| 90961 | 25% | 769 | 709 | $22K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 20% | 414 | 164 | $17K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.1% | 49 | 28 | $2K |
| 90962 | 1.5% | 55 | 55 | $1K |
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.
From NPPES
Who's on the registration
Authorized officialDEMARCO, JAMES (OWNER)