James C Elmer, MD PA

James C Elmer, MD PA was paid $145K by Medicaid between Jan 2019 and Dec 2022, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.

33Billing provider infoJAMES C ELMER, MD PA
COCOA BEACH, FL 32931

33aNPI1467642827assigned 07/31/2007

33bProvider typeObstetrics & Gynecology Physician

28Total paid$145K

24GClaims2,155

24DCodes billed3

24AFirst – last monthJan 2019 – Dec 2022

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Florida

Rank by total paid#131 of 352

Median peer was paid$67K

This provider vs. median2.2×

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

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
2019	600	$36K
2020	501	$28K
2021	588	$49K
2022	466	$31K

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	57%	1,368	1,148	$82K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	37%	672	593	$53K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	6.7%	115	110	$10K

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.

From NPPES

Who's on the registration

Authorized officialELMER, JAMES (OWNER)