Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Traverse City › NPI 1427176429
Physician

Shirley, James

Shirley, James was paid $33K by Medicaid between Nov 2022 and Aug 2023, across 9 billing codes. Its largest line is 70450, Computed tomography, head or brain; without contrast material — 69% of everything it billed.

33Billing provider infoSHIRLEY, JAMES
TRAVERSE CITY, MI 49686
33aNPI1427176429assigned 03/27/2007
28Total paid$33K
24GClaims605
24DCodes billed9
24AFirst – last monthNov 2022 – Aug 2023
Compared with peers

Next to other Diagnostic Radiology Physician providers in Michigan

Rank by total paid#69 of 139
Median peer was paid$28K
This provider vs. median1.2×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2022135$6K
2023470$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
70450 Computed tomography, head or brain; without contrast material 69% 278 271 $23K
74177 Computed tomography, abdomen and pelvis; with contrast material 19% 129 115 $6K
74176 Computed tomography, abdomen and pelvis; without contrast material 3.8% 28 27 $1K
76830 Ultrasound, transvaginal 2.3% 22 21 $762.10
76705 Ultrasound, abdominal, real time with image documentation; limited 2.1% 33 32 $703.56
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2.0% 22 21 $665.11
93971 <1% 27 27 $329.26
71045 Radiologic examination, chest; single view <1% 53 42 $213.64
71046 Radiologic examination, chest; 2 views <1% 13 13 $77.01

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.