Cleveland, James

Cleveland, James was paid $35K by Medicaid between Feb 2018 and Jul 2020, across 2 billing codes. Its largest line is 99285, emergency room visit (most serious) — 68% of everything it billed.

33Billing provider infoCLEVELAND, JAMES
FRANKLIN, TN 37067

33aNPI1700802618assigned 07/14/2006

33bProvider typeEmergency Medicine Physician

28Total paid$35K

24GClaims630

24DCodes billed2

24AFirst – last monthFeb 2018 – Jul 2020

Compared with peers

Next to other Emergency Medicine Physician providers in Tennessee

Rank by total paid#192 of 332

Median peer was paid$56K

This provider vs. median0.6×

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	324	$17K
2019	219	$12K
2020	87	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	68%	364	306	$24K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	32%	266	237	$11K

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.