Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Massimilian, James

Massimilian, James was paid $98K by Medicaid between Jan 2018 and Sep 2021, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 85% of everything it billed.

33Billing provider infoMASSIMILIAN, JAMES
PALOS HEIGHTS, IL 60463
33aNPI1598766966assigned 08/09/2005
28Total paid$98K
24GClaims1,643
24DCodes billed3
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#1,227 of 1,980
Median peer was paid$150K
This provider vs. median0.7×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018369$18K
2019560$27K
2020387$26K
2021327$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 85% 1,252 1,084 $83K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 11% 259 241 $11K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 4.1% 132 123 $4K

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.