Appleton, James
Appleton, James was paid $4K by Medicaid between Apr 2018 and Mar 2020, across 2 billing codes. Its largest line is 11721, — 77% of everything it billed.
33Billing provider infoAPPLETON, JAMES
PAWTUCKET, RI 02860
PAWTUCKET, RI 02860
33aNPI1710280037assigned 12/08/2010
33bProvider typeFoot & Ankle Surgery Podiatrist
28Total paid$4K
24GClaims109
24DCodes billed2
24AFirst – last monthApr 2018 – Mar 2020
Compared with peers
Next to other Foot & Ankle Surgery Podiatrist providers in Rhode Island
Rank by total paid#24 of 29
Median peer was paid$20K
This provider vs. median0.2×
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 | 23 | $832.67 | |
| 2019 | 60 | $2K | |
| 2020 | 26 | $837.54 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 11721 | 77% | 89 | 89 | $3K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 20 | 17 | $887.48 |
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.