Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JAMES E FOX MD PLLC

NPI: 1508107533 · KNOXVILLE, TN 37923 · Pain Clinic/Center · NPI assigned 03/15/2013

$380K
Total Medicaid Paid
57,845
Total Claims
48,358
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFOX, JAMES (PHYSICIAN)
NPI Enumeration Date03/15/2013

Related Entities

Other providers sharing the same authorized official: FOX, JAMES

ProviderCityStateTotal Paid
FOX SKIN & ALLERGY ASSOCIATES BRANCHBURG NJ $265K
CHIROPRACTIC OASIS OF GARDENDALE, LLC GARDENDALE AL $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,337 $90K
2019 9,481 $65K
2020 8,114 $59K
2021 7,969 $56K
2022 6,935 $37K
2023 6,407 $38K
2024 7,602 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,502 16,495 $214K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,929 5,112 $89K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 19,142 15,825 $34K
80306 2,792 2,509 $17K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 5,059 4,379 $14K
96132 486 270 $3K
96130 486 270 $2K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 593 542 $2K
81025 571 497 $1K
96127 1,243 1,114 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 319 309 $1K
96138 487 270 $431.70
99406 298 205 $395.68
0012A 15 14 $339.14
99439 14 12 $232.93
99490 Ccm add 20min 16 14 $151.42
99423 19 15 $99.80
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 419 238 $63.88
G0008 Administration of influenza virus vaccine 17 16 $46.26
99442 20 17 $36.01
G0444 Annual depression screening, 5 to 15 minutes 398 217 $33.12
96146 20 18 $8.00