Branch, James

Branch, James was paid $1.84M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 53% of everything it billed.

33Billing provider infoBRANCH, JAMES
WINSTON-SALEM, NC 27101

33aNPI1538147061assigned 01/05/2006

33bProvider typeOphthalmology Physician

28Total paid$1.84M

24GClaims51,721

24DCodes billed16

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in North Carolina

Rank by total paid#8 of 118

Median peer was paid$22K

This provider vs. median83×

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	5,087	$233K
2019	6,950	$248K
2020	6,185	$249K
2021	9,559	$272K
2022	9,038	$309K
2023	8,498	$299K
2024incomplete	6,404	$230K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S0621	Routine ophthalmological examination including refraction; established patient	53%	12,595	10,792	$976K
S0620	Routine ophthalmological examination including refraction; new patient	19%	3,813	3,271	$351K
92340	Fitting of spectacles, except for aphakia; monofocal	15%	15,162	12,733	$276K
92370		5.6%	15,763	13,279	$103K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.7%	1,899	1,625	$67K
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	2.5%	1,281	1,102	$46K
92134		<1%	395	347	$7K
92341		<1%	245	237	$5K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	66	63	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	153	117	$3K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	45	42	$2K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	13	13	$621.14

4 more codes

92226		<1%	48	$170.60
92202		<1%	212	$120.37
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	16	$0.00
1036F		0%	15	$0.00

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.