Maguire, James

Maguire, James was paid $38K by Medicaid between May 2018 and Mar 2023, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.

33Billing provider infoMAGUIRE, JAMES
GLOUCESTER, MA 01930

33aNPI1538111422assigned 05/17/2006

33bProvider typeInternal Medicine Physician

28Total paid$38K

24GClaims639

24DCodes billed2

24AFirst – last monthMay 2018 – Mar 2023

Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#377 of 1,270

Median peer was paid$8K

This provider vs. median4.5×

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	79	$4K
2019	27	$2K
2020	94	$5K
2021	178	$11K
2022	210	$13K
2023	51	$3K

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	91%	601	514	$34K
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	8.5%	38	36	$3K

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.