James, Jeffrey

James, Jeffrey was paid $96K by Medicaid between Oct 2020 and Feb 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.

33Billing provider infoJAMES, JEFFREY
UNIONTOWN, PA 15401

33aNPI1710072608assigned 10/04/2006

33bProvider typeInfectious Disease Physician

28Total paid$96K

24GClaims2,604

24DCodes billed5

24AFirst – last monthOct 2020 – Feb 2024

Compared with peers

Next to other Infectious Disease Physician providers in Pennsylvania

Rank by total paid#25 of 87

Median peer was paid$26K

This provider vs. median3.7×

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
2020	175	$4K
2021	753	$24K
2022	700	$28K
2023	803	$33K
2024incomplete	173	$7K

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	55%	1,782	1,263	$53K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	19%	449	235	$19K
99222	Initial hospital care, per day, moderate complexity	17%	179	175	$16K
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	7.1%	147	124	$7K
97597		1.3%	47	40	$1K

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.