Marcin, James

Marcin, James was paid $13K by Medicaid between Nov 2020 and Jan 2022, across 7 billing codes. Its largest line is 95811, — 58% of everything it billed.

33Billing provider infoMARCIN, JAMES
HERMITAGE, PA 16148

33aNPI1457353401assigned 06/02/2005

33bProvider typePulmonary Disease Physician

28Total paid$13K

24GClaims388

24DCodes billed7

24AFirst – last monthNov 2020 – Jan 2022

Compared with peers

Next to other Pulmonary Disease Physician providers in Pennsylvania

Rank by total paid#50 of 137

Median peer was paid$7K

This provider vs. median1.9×

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
2020	30	$2K
2021	342	$10K
2022	16	$957.76

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95811		58%	72	72	$8K
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	25%	71	68	$3K
94060		4.9%	101	101	$654.45
94726		4.4%	73	73	$586.59
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.1%	12	12	$421.05
95806		2.6%	17	17	$349.00
94729		1.9%	42	42	$254.16

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.