Physician
DRS. James & Kathryn Mize PC
DRS. James & Kathryn Mize PC was paid $1.33M by Medicaid between Jan 2018 and Apr 2022, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoDRS. JAMES & KATHRYN MIZE PC
DECATUR, AL 35601
DECATUR, AL 35601
33aNPI1710100052assigned 04/11/2007
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$1.33M
24GClaims29,824
24DCodes billed33
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Alabama
Rank by total paid#8 of 21
Median peer was paid$270K
This provider vs. median4.9×
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
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 | 7,898 | $308K | |
| 2019 | 8,118 | $330K | |
| 2020 | 5,459 | $253K | |
| 2021 | 6,411 | $339K | |
| 2022 | 1,938 | $101K |
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 | 42% | 8,529 | 7,491 | $559K |
| 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 | 27% | 3,617 | 3,279 | $357K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 1,412 | 1,363 | $93K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.9% | 1,179 | 1,140 | $79K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.7% | 4,964 | 4,682 | $62K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 528 | 505 | $34K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.2% | 1,474 | 1,358 | $29K |
| 90686 | 1.4% | 988 | 979 | $19K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.3% | 308 | 299 | $17K |
| 90670 | 1.3% | 893 | 883 | $17K | |
| 87081 | 1.1% | 2,036 | 1,947 | $15K | |
| 90647 | <1% | 457 | 451 | $9K |
21 more codes
| 90723 | <1% | 391 | $8K | |
| 90680 | <1% | 293 | $6K | |
| 90685 | <1% | 230 | $4K | |
| 92551 | <1% | 979 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 26 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 26 | $3K |
| 90707 | <1% | 126 | $2K | |
| 99173 | <1% | 490 | $2K | |
| 90633 | <1% | 125 | $2K | |
| 90716 | <1% | 97 | $2K | |
| 90461 | <1% | 28 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $910.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 20 | $779.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 24 | $672.00 |
| 85014 | <1% | 217 | $498.52 | |
| 36416 | <1% | 196 | $457.50 | |
| 87807 | <1% | 26 | $253.00 | |
| 81000 | <1% | 53 | $167.96 | |
| 94664 | <1% | 12 | $120.00 | |
| 85018 | <1% | 40 | $96.80 | |
| 99050 | 0% | 27 | $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.
From NPPES
Who's on the registration
Authorized officialMIZE, KATHRYN (PHYSICIAN)