Physician
Wapshare, James
Wapshare, James was paid $128K by Medicaid between Jan 2018 and Apr 2023, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoWAPSHARE, JAMES
GOSHEN, NY 10924
GOSHEN, NY 10924
33aNPI1467545376assigned 10/02/2006
33bProvider typePediatrics Physician
28Total paid$128K
24GClaims2,723
24DCodes billed13
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#661 of 1,983
Median peer was paid$17K
This provider vs. median7.5×
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
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 | 555 | $28K | |
| 2019 | 796 | $34K | |
| 2020 | 508 | $24K | |
| 2021 | 429 | $18K | |
| 2022 | 170 | $11K | |
| 2023 | 265 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 43% | 731 | 666 | $55K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 894 | 816 | $44K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.9% | 617 | 498 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.1% | 162 | 154 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.8% | 93 | 93 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.2% | 55 | 55 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 50 | 50 | $3K |
| 99460 | <1% | 16 | 16 | $705.41 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | 14 | $684.36 |
| 99462 | <1% | 16 | 14 | $287.97 | |
| 81001 | <1% | 31 | 31 | $78.35 | |
| 81003 | <1% | 31 | 31 | $61.82 |
1 more codes
| 90686 | 0% | 13 | $0.00 |
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.