Carruth, James

Carruth, James was paid $39K by Medicaid between Jan 2018 and Mar 2019, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.

33Billing provider infoCARRUTH, JAMES
HUNTINGDON, TN 38344

33aNPI1659360733assigned 10/20/2005

33bProvider typePulmonary Disease Physician

28Total paid$39K

24GClaims4,043

24DCodes billed14

24AFirst – last monthJan 2018 – Mar 2019

Compared with peers

Next to other Pulmonary Disease Physician providers in Tennessee

Rank by total paid#27 of 62

Median peer was paid$26K

This provider vs. median1.5×

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
2018	3,301	$34K
2019	742	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	27%	640	580	$11K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	22%	680	120	$9K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	17%	467	112	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	712	636	$6K
71046	Radiologic examination, chest; 2 views	4.9%	362	323	$2K
94060		4.7%	139	126	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	3.4%	200	170	$1K
99406		1.9%	326	295	$738.30
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.0%	14	13	$397.40
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	102	98	$393.73
90756		<1%	68	63	$357.61
G0008	Administration of influenza virus vaccine	<1%	67	62	$110.67

2 more codes

J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	233	$51.58
36415	Collection of venous blood by venipuncture	<1%	33	$18.27

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.