Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Mechanicsburg › NPI 1538121561
Physician

Thompson, James

Thompson, James was paid $5K by Medicaid between Nov 2021 and Oct 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 87% of everything it billed.

33Billing provider infoTHOMPSON, JAMES
MECHANICSBURG, PA 17055
33aNPI1538121561assigned 04/05/2006
28Total paid$5K
24GClaims137
24DCodes billed2
24AFirst – last monthNov 2021 – Oct 2024
Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#1,912 of 2,756
Median peer was paid$19K
This provider vs. median0.3×

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

$0$250$500$7502018201920202021202220232024
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
202113$658.46
202213$419.02
202366$2K
2024incomplete45$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 87% 116 112 $5K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 21 15 $651.80

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.