Ausfahl, James

Ausfahl, James was paid $225K by Medicaid between Jan 2018 and Jun 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.

33Billing provider infoAUSFAHL, JAMES
PEORIA HEIGHTS, IL 61616

33aNPI1518058619assigned 09/27/2006

33bProvider typeFamily Medicine Physician

28Total paid$225K

24GClaims5,082

24DCodes billed7

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#511 of 2,947

Median peer was paid$43K

This provider vs. median5.3×

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
2018	301	$12K
2019	661	$27K
2020	673	$27K
2021	960	$44K
2022	1,154	$54K
2023	919	$41K
2024incomplete	414	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	95%	4,656	4,042	$214K
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	4.0%	154	128	$9K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	125	122	$1K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	13	13	$934.18
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	21	19	$324.50
81002		<1%	44	43	$117.69
36415	Collection of venous blood by venipuncture	<1%	69	65	$25.58

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.