Physician
Reilly, James
Reilly, James was paid $309K by Medicaid between Jan 2018 and Apr 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoREILLY, JAMES
COMMACK, NY 11725
COMMACK, NY 11725
33aNPI1558466615assigned 09/14/2006
33bProvider typePediatrics Physician
28Total paid$309K
24GClaims9,740
24DCodes billed37
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#512 of 1,983
Median peer was paid$17K
This provider vs. median18×
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 | 904 | $14K | |
| 2019 | 341 | $10K | |
| 2020 | 1,456 | $42K | |
| 2021 | 2,920 | $89K | |
| 2022 | 1,113 | $45K | |
| 2023 | 2,623 | $95K | |
| 2024incomplete | 383 | $14K |
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 | 28% | 1,199 | 1,128 | $86K |
| 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 | 17% | 564 | 529 | $53K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 960 | 953 | $38K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 197 | 196 | $21K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.2% | 142 | 142 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.1% | 169 | 166 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.3% | 121 | 121 | $13K |
| 92587 | 4.2% | 564 | 561 | $13K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.8% | 903 | 894 | $12K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.7% | 260 | 253 | $11K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 2.2% | 169 | 166 | $7K |
| 92551 | 1.6% | 413 | 413 | $5K |
25 more codes
| 90461 | 1.3% | 179 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 308 | $3K |
| 90677 | 1.0% | 12 | $3K | |
| 99406 | <1% | 190 | $3K | |
| 81000 | <1% | 356 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 85 | $981.44 |
| 99051 | <1% | 130 | $829.42 | |
| 99354 | <1% | 13 | $733.46 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 25 | $169.26 |
| 96160 | <1% | 135 | $157.44 | |
| 90670 | <1% | 30 | $105.00 | |
| 99072 | <1% | 373 | $32.40 | |
| 99173 | <1% | 30 | $24.71 | |
| 90648 | <1% | 41 | $22.50 | |
| 90686 | <1% | 293 | $19.58 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 27 | $13.77 |
| 94760 | <1% | 122 | $12.19 | |
| 96127 | 0% | 93 | $0.00 | |
| 99000 | 0% | 101 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 96 | $0.00 |
| 90619 | 0% | 12 | $0.00 | |
| 99080 | 0% | 1,319 | $0.00 | |
| 90700 | 0% | 40 | $0.00 | |
| 99177 | 0% | 50 | $0.00 | |
| 90713 | 0% | 19 | $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.