Naples, James

Naples, James was paid $16K by Medicaid between Sep 2020 and Mar 2023, across 3 billing codes. Its largest line is 92557, — 78% of everything it billed.

33Billing provider infoNAPLES, JAMES
BOSTON, MA 02215

33aNPI1518229228assigned 06/10/2012

33bProvider typeOtolaryngology Physician

28Total paid$16K

24GClaims463

24DCodes billed3

24AFirst – last monthSep 2020 – Mar 2023

Compared with peers

Next to other Otolaryngology Physician providers in Massachusetts

Rank by total paid#44 of 90

Median peer was paid$14K

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

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	13	$1K
2021	176	$5K
2022	208	$7K
2023	66	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92557		78%	306	304	$13K
92567		15%	144	143	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	7.2%	13	13	$1K

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.