Physician
James, Theodore
James, Theodore was paid $193K by Medicaid between Sep 2019 and Dec 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.
33Billing provider infoJAMES, THEODORE
BLUE ISLAND, IL 60406
BLUE ISLAND, IL 60406
33aNPI1598741050assigned 12/16/2005
33bProvider typeFamily Medicine Physician
28Total paid$193K
24GClaims6,106
24DCodes billed3
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#580 of 2,947
Median peer was paid$43K
This provider vs. median4.5×
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 | 163 | $6K | |
| 2020 | 1,036 | $33K | |
| 2021 | 1,149 | $35K | |
| 2022 | 1,027 | $31K | |
| 2023 | 888 | $26K | |
| 2024incomplete | 1,843 | $62K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 88% | 3,419 | 1,949 | $169K |
| 80305 | 11% | 2,525 | 1,511 | $22K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 162 | 98 | $2K |
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.