James, Matthew

James, Matthew was paid $63K by Medicaid between Jul 2020 and Apr 2024, across 6 billing codes. Its largest line is G2023, Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source — 42% of everything it billed.

33Billing provider infoJAMES, MATTHEW
PROVIDENCE, RI 02906

33aNPI1538548383assigned 05/27/2015

33bProvider typeFamily Nurse Practitioner

28Total paid$63K

24GClaims2,417

24DCodes billed6

24AFirst – last monthJul 2020 – Apr 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Rhode Island

Rank by total paid#86 of 266

Median peer was paid$31K

This provider vs. median2.0×

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	284	$5K
2021	1,173	$29K
2022	766	$20K
2023	181	$8K
2024incomplete	13	$771.46

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	42%	1,116	957	$26K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	23%	367	289	$15K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	22%	744	638	$14K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.5%	101	100	$6K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	1.9%	16	16	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.4%	73	67	$869.70

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.