Clark, James

Clark, James was paid $9K by Medicaid between Nov 2019 and Feb 2024, across 3 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 53% of everything it billed.

33Billing provider infoCLARK, JAMES
DOWNERS GROVE, IL 60515

33aNPI1588640650assigned 12/20/2005

33bProvider typeGastroenterology Physician

28Total paid$9K

24GClaims203

24DCodes billed3

24AFirst – last monthNov 2019 – Feb 2024

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#224 of 370

Median peer was paid$16K

This provider vs. median0.5×

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	33	$273.90
2021	37	$966.38
2022	119	$7K
2024incomplete	14	$717.06

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	53%	173	64	$5K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	39%	16	16	$3K
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	8.2%	14	14	$717.06

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.