Physician
Mize, James
Mize, James was paid $16K by Medicaid between Aug 2020 and Dec 2020, across 5 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 60% of everything it billed.
33Billing provider infoMIZE, JAMES
FALLS CHURCH, VA 22042
FALLS CHURCH, VA 22042
33aNPI1477554434assigned 08/02/2005
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$16K
24GClaims151
24DCodes billed5
24AFirst – last monthAug 2020 – Dec 2020
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Virginia
Rank by total paid#24 of 63
Median peer was paid$6K
This provider vs. median2.6×
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 | 151 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 60% | 64 | 62 | $10K |
| 88342 | 14% | 29 | 27 | $2K | |
| 88312 | 11% | 13 | 13 | $2K | |
| 88313 | 9.8% | 29 | 27 | $2K | |
| 88341 | 4.9% | 16 | 14 | $788.37 |
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.