Physician
Hayden, James
Hayden, James was paid $103K by Medicaid between Jan 2019 and Sep 2024, across 4 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoHAYDEN, JAMES
HUNTINGDON, PA 16652
HUNTINGDON, PA 16652
33aNPI1578697785assigned 03/16/2007
33bProvider typeFamily Medicine Physician
28Total paid$103K
24GClaims878
24DCodes billed4
24AFirst – last monthJan 2019 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#615 of 2,756
Median peer was paid$19K
This provider vs. median5.4×
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 | |
|---|---|---|---|
| 2019 | 184 | $2K | |
| 2020 | 110 | $12K | |
| 2021 | 216 | $23K | |
| 2022 | 83 | $14K | |
| 2023 | 163 | $29K | |
| 2024incomplete | 122 | $24K |
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 | 100% | 672 | 654 | $103K |
| 3078F | 0% | 12 | 12 | $0.00 | |
| 3074F | 0% | 24 | 24 | $0.00 | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 0% | 170 | 153 | $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.