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

Campbell, James

Campbell, James was paid $52K by Medicaid between Jan 2018 and Nov 2018, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoCAMPBELL, JAMES
NORTON, VA 24273
33aNPI1629128640assigned 01/11/2007
33bProvider typePediatrics Physician
28Total paid$52K
24GClaims1,391
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#324 of 817
Median peer was paid$29K
This provider vs. median1.8×

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
20181,391$52K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 61% 559 520 $32K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 16% 108 107 $8K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10% 68 68 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.3% 21 21 $2K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2.1% 13 13 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.9% 70 68 $988.02
90670 1.8% 77 77 $926.25
90686 1.4% 59 59 $707.22
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.0% 36 17 $523.80
90688 <1% 15 15 $183.94
36415 Collection of venous blood by venipuncture <1% 57 55 $159.39
90723 <1% 12 12 $147.74
3 more codes
90710 <1% 12 $147.19
90460 Immunization administration through 18 years of age via any route, first or only component <1% 192 $23.10
90461 0% 92 $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.