Physician
Miriam N. James D.O. P.C.
Miriam N. James D.O. P.C. was paid $545K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoMIRIAM N. JAMES D.O. P.C.
MOUNT VERNON, NY 10550
MOUNT VERNON, NY 10550
33aNPI1700043825assigned 05/16/2008
33bProvider typeFamily Medicine Physician
28Total paid$545K
24GClaims10,344
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#206 of 2,605
Median peer was paid$10K
This provider vs. median54×
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 | 1,051 | $47K | |
| 2019 | 1,551 | $66K | |
| 2020 | 1,528 | $83K | |
| 2021 | 1,690 | $96K | |
| 2022 | 1,759 | $102K | |
| 2023 | 2,045 | $106K | |
| 2024incomplete | 720 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 2,944 | 2,526 | $199K |
| 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 | 32% | 1,806 | 1,601 | $173K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 16% | 641 | 561 | $87K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.8% | 346 | 343 | $32K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 2.6% | 61 | 60 | $14K |
| 80053 | Comprehensive metabolic panel | 1.4% | 1,000 | 998 | $7K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.3% | 68 | 67 | $7K |
| 10030 | <1% | 12 | 12 | $4K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 64 | 60 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 523 | 521 | $3K |
| 80061 | Lipid panel | <1% | 758 | 757 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 898 | 896 | $3K |
8 more codes
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 12 | $2K |
| 95250 | <1% | 17 | $2K | |
| 81003 | <1% | 1,113 | $2K | |
| 98929 | <1% | 13 | $868.86 | |
| 97802 | <1% | 28 | $723.58 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $442.86 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $153.01 |
| 99401 | <1% | 14 | $140.20 |
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.
From NPPES
Who's on the registration
Authorized officialJAMES, MIRIAM (FAMILY PRACTICE)