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

Yates, James

Yates, James was paid $120K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 60% of everything it billed.

33Billing provider infoYATES, JAMES
JACKSONVILLE, AL 36265
33aNPI1699769174assigned 09/09/2005
28Total paid$120K
24GClaims5,718
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in Alabama

Rank by total paid#68 of 225
Median peer was paid$17K
This provider vs. median6.9×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
20181,246$19K
2019822$17K
2020797$18K
2021842$18K
2022682$14K
2023673$15K
2024incomplete656$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99308 Subsequent nursing facility care, per day, straightforward 60% 3,581 3,132 $72K
99309 Subsequent nursing facility care, per day, low to moderate complexity 28% 1,392 1,346 $33K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.5% 372 343 $9K
99306 Prolong nursin fac eval 15m 2.0% 67 51 $2K
99307 1.6% 179 133 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 114 13 $697.98
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 13 13 $214.08

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.