Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Cape Girardeau › NPI 1588670913
Physician

Borders, James

Borders, James was paid $109K by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 70450, Computed tomography, head or brain; without contrast material — 28% of everything it billed.

33Billing provider infoBORDERS, JAMES
CAPE GIRARDEAU, MO 63703
33aNPI1588670913assigned 07/31/2006
28Total paid$109K
24GClaims6,626
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Diagnostic Radiology Physician providers in Missouri

Rank by total paid#46 of 372
Median peer was paid$6K
This provider vs. median19×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20181,608$20K
20191,476$23K
2020682$7K
2021263$2K
2022772$16K
2023880$20K
2024incomplete945$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
70450 Computed tomography, head or brain; without contrast material 28% 550 515 $31K
77067 Screening mammography, bilateral, including computer-aided detection 21% 843 656 $23K
77063 Screening digital breast tomosynthesis, bilateral 10% 493 371 $11K
74176 Computed tomography, abdomen and pelvis; without contrast material 8.5% 223 203 $9K
74177 Computed tomography, abdomen and pelvis; with contrast material 7.9% 182 171 $9K
71045 Radiologic examination, chest; single view 7.4% 2,024 1,672 $8K
71046 Radiologic examination, chest; 2 views 6.3% 1,121 1,083 $7K
76642 3.6% 213 187 $4K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 2.3% 125 94 $3K
73130 <1% 106 88 $994.25
73630 <1% 101 89 $930.57
73610 <1% 107 96 $913.67
12 more codes
74018 <1% 130 $675.31
72125 Computed tomography, cervical spine; without contrast material <1% 29 $659.46
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 27 $454.49
74022 <1% 14 $247.17
73110 <1% 12 $222.36
73090 <1% 14 $97.96
G9326 Ct studies performed not reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements, reason not given 0% 59 $0.00
G9329 Dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study not documented in final report, reason not given 0% 59 $0.00
G9638 Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) 0% 46 $0.00
G9319 Imaging study not named according to standardized nomenclature, reason not given 0% 59 $0.00
G9551 Final reports for imaging studies without an incidentally found lesion noted 0% 30 $0.00
G9322 Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given 0% 59 $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.