Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1477554434assigned 08/02/2005
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

$0$5.0K$10K2018201920202021202220232024
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
2020151$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.