Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pelletier, James

Pelletier, James was paid $15K by Medicaid between Jan 2018 and Sep 2024, across 4 billing codes. Its largest line is 11721, — 93% of everything it billed.

33Billing provider infoPELLETIER, JAMES
WATERTOWN, NY 13601
33aNPI1508806480assigned 06/07/2006
33bProvider typePodiatrist
28Total paid$15K
24GClaims1,647
24DCodes billed4
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Podiatrist providers in New York

Rank by total paid#292 of 605
Median peer was paid$12K
This provider vs. median1.2×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
2018279$2K
2019314$2K
2020283$2K
2021340$3K
2022143$2K
2023243$3K
2024incomplete45$617.08
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
11721 93% 1,545 1,539 $14K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.8% 74 71 $572.85
73630 3.0% 16 13 $451.10
11056 <1% 12 12 $21.45

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.