Physician
Eppelbaum, James
Eppelbaum, James was paid $277K by Medicaid between Sep 2020 and Jul 2023, across 19 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoEPPELBAUM, JAMES
SAEGERTOWN, PA 16433
SAEGERTOWN, PA 16433
33aNPI1558609065assigned 01/18/2013
33bProvider typeFamily Medicine Physician
28Total paid$277K
24GClaims9,770
24DCodes billed19
24AFirst – last monthSep 2020 – Jul 2023
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#258 of 2,756
Median peer was paid$19K
This provider vs. median14×
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 | 349 | $15K | |
| 2021 | 2,761 | $93K | |
| 2022 | 4,301 | $110K | |
| 2023 | 2,359 | $60K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 2,109 | 2,005 | $274K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 81 | 37 | $2K |
| 99217 | <1% | 26 | 26 | $730.44 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | 13 | $187.00 |
| 3078F | 0% | 793 | 768 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 112 | 112 | $0.00 |
| 3028F | 0% | 237 | 226 | $0.00 | |
| 3077F | 0% | 15 | 15 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 28 | 28 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 27 | 27 | $0.00 |
| 3008F | 0% | 1,373 | 1,324 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 1,057 | 1,029 | $0.00 |
7 more codes
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.