Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Davis, James

Davis, James was paid $37K by Medicaid between Jan 2018 and Jan 2021, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 73% of everything it billed.

33Billing provider infoDAVIS, JAMES
BAKER CITY, OR 97814
33aNPI1457391690assigned 06/07/2006
33bProvider typeOphthalmology Physician
28Total paid$37K
24GClaims1,021
24DCodes billed3
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers

Next to other Ophthalmology Physician providers in Oregon

Rank by total paid#24 of 50
Median peer was paid$25K
This provider vs. median1.5×

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$4.0K2018201920202021202220232024
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
2018427$20K
2019385$15K
2020197$2K
202112$113.12
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 73% 249 247 $27K
92015 Determination of refractive state 26% 760 748 $10K
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 <1% 12 12 $352.89

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.