Luna, James

Luna, James was paid $114K by Medicaid between Aug 2018 and Nov 2020, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 62% of everything it billed.

33Billing provider infoLUNA, JAMES
BRISTOL, TN 37620

33aNPI1407963507assigned 08/24/2006

33bProvider typeEmergency Medicine Physician

28Total paid$114K

24GClaims2,759

24DCodes billed4

24AFirst – last monthAug 2018 – Nov 2020

Compared with peers

Next to other Emergency Medicine Physician providers in Tennessee

Rank by total paid#103 of 332

Median peer was paid$56K

This provider vs. median2.0×

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	729	$26K
2019	1,045	$48K
2020	985	$40K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	62%	1,418	1,188	$70K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	27%	694	566	$31K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	11%	416	348	$12K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	231	191	$532.39

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.