Anderson, James
Anderson, James was paid $2.21M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
33Billing provider infoANDERSON, JAMES
GOODLETTSVILLE, TN 37072
GOODLETTSVILLE, TN 37072
33aNPI1689671802assigned 07/01/2005
33bProvider typeSpecialist
28Total paid$2.21M
24GClaims55,391
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#13 of 252
Median peer was paid$57K
This provider vs. median39×
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 | 4,495 | $605K | |
| 2019 | 5,583 | $262K | |
| 2020 | 5,648 | $229K | |
| 2021 | 13,122 | $236K | |
| 2022 | 10,627 | $289K | |
| 2023 | 8,445 | $326K | |
| 2024incomplete | 7,471 | $268K |
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 | 21% | 13,788 | 10,918 | $456K |
| L8679 | Implantable neurostimulator, pulse generator, any type | 20% | 107 | 63 | $436K |
| 95886 | 13% | 8,528 | 3,289 | $291K | |
| 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 | 9.3% | 3,284 | 2,671 | $205K |
| 95913 | 8.9% | 1,734 | 1,364 | $197K | |
| 95912 | 7.0% | 1,621 | 1,341 | $156K | |
| 95816 | 6.1% | 1,352 | 1,164 | $135K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.0% | 3,486 | 2,668 | $89K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 1,144 | 850 | $62K |
| 95951 | 2.6% | 337 | 149 | $59K | |
| 95713 | 1.7% | 248 | 214 | $37K | |
| 76942 | 1.1% | 1,001 | 750 | $23K |
25 more codes
| L0637 | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 100 | $22K |
| 95700 | <1% | 248 | $14K | |
| 95910 | <1% | 158 | $13K | |
| 95718 | <1% | 144 | $8K | |
| 80305 | <1% | 1,382 | $5K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 85 | $4K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 167 | $2K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 164 | $628.96 |
| L0120 | Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) | <1% | 43 | $477.12 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 94 | $127.06 |
| 3008F | <1% | 3,614 | $100.00 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 51 | $5.13 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 929 | $0.00 |
| 1123F | 0% | 1,915 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 654 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 242 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,959 | $0.00 |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 149 | $0.00 |
| 1036F | 0% | 31 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,982 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 2,244 | $0.00 |
| 1124F | 0% | 935 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 400 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 39 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 32 | $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.