Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AZ › Kingman › NPI 1659379527
Physician

Thomas, James

Thomas, James was paid $282K by Medicaid between Jan 2018 and Jul 2022, across 7 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 36% of everything it billed.

33Billing provider infoTHOMAS, JAMES
KINGMAN, AZ 86409
33aNPI1659379527assigned 07/13/2005
33bProvider typeGynecology Physician
28Total paid$282K
24GClaims3,586
24DCodes billed7
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers

Next to other Gynecology Physician providers in Arizona

Rank by total paid#5 of 14
Median peer was paid$11K
This provider vs. median27×

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$10K$20K2018201920202021202220232024
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
20181,284$74K
2019755$62K
20201,003$103K
2021221$18K
2022323$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 36% 896 715 $102K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 26% 1,112 854 $74K
76819 Fetal biophysical profile; without non-stress testing 20% 1,109 814 $57K
76825 6.5% 136 121 $18K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 5.3% 153 137 $15K
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 3.8% 137 119 $11K
99244 Office or other outpatient consultation, moderate to high complexity 1.8% 43 38 $5K

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.