Harms, James

Harms, James was paid $91K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99243, — 88% of everything it billed.

33Billing provider infoHARMS, JAMES
URBANA, IL 61801

33aNPI1619984267assigned 08/02/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$91K

24GClaims1,535

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Illinois

Rank by total paid#86 of 422

Median peer was paid$21K

This provider vs. median4.4×

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	75	$6K
2019	125	$9K
2020	194	$11K
2021	289	$18K
2022	278	$16K
2023	343	$18K
2024incomplete	231	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99243		88%	1,057	1,019	$80K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	7.0%	307	300	$6K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.9%	171	166	$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.