Physician
Nicholas, James
Nicholas, James was paid $407K by Medicaid between Feb 2018 and Dec 2024, across 10 billing codes. Its largest line is S9088, Services provided in an urgent care center (list in addition to code for service) — 30% of everything it billed.
33Billing provider infoNICHOLAS, JAMES
PITTSBURGH, PA 15203
PITTSBURGH, PA 15203
33aNPI1417908195assigned 05/15/2006
33bProvider typeEmergency Medicine Physician
28Total paid$407K
24GClaims9,292
24DCodes billed10
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Pennsylvania
Rank by total paid#65 of 1,211
Median peer was paid$19K
This provider vs. median21×
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 | 26 | $789.00 | |
| 2019 | 14 | $455.00 | |
| 2020 | 350 | $15K | |
| 2021 | 2,680 | $111K | |
| 2022 | 2,311 | $100K | |
| 2023 | 2,477 | $115K | |
| 2024incomplete | 1,434 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 30% | 3,983 | 3,892 | $123K |
| 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 | 21% | 1,178 | 1,166 | $87K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 1,484 | 1,450 | $72K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 753 | 738 | $56K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 8.7% | 1,047 | 1,033 | $36K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.2% | 192 | 191 | $21K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.3% | 168 | 164 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 279 | 274 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 168 | 162 | $3K |
| 81003 | <1% | 40 | 39 | $101.14 |
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.