Physician
Stoughton, James
Stoughton, James was paid $39K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99284, emergency room visit (serious) — 67% of everything it billed.
33Billing provider infoSTOUGHTON, JAMES
JOHNSON CITY, NY 13790
JOHNSON CITY, NY 13790
33aNPI1568438679assigned 02/28/2006
33bProvider typeEmergency Medicine Physician
28Total paid$39K
24GClaims2,099
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in New York
Rank by total paid#246 of 2,113
Median peer was paid$5K
This provider vs. median8.6×
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 | 240 | $4K | |
| 2019 | 282 | $7K | |
| 2020 | 188 | $5K | |
| 2021 | 299 | $7K | |
| 2022 | 414 | $6K | |
| 2023 | 285 | $4K | |
| 2024incomplete | 391 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 67% | 1,185 | 1,171 | $26K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 18% | 234 | 228 | $7K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 12% | 443 | 432 | $5K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 3.0% | 139 | 132 | $1K |
| 2010F | 0% | 83 | 82 | $0.00 | |
| 3120F | 0% | 15 | 14 | $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.