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
PALOS HEIGHTS, IL 60463
33aNPI1598766966assigned 08/09/2005
33bProvider typeEmergency Medicine Physician
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
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 | |
|---|---|---|---|
| 2018 | 369 | $18K | |
| 2019 | 560 | $27K | |
| 2020 | 387 | $26K | |
| 2021 | 327 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.