Physician
Oppy, James
Oppy, James was paid $51K by Medicaid between Nov 2020 and Nov 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.
33Billing provider infoOPPY, JAMES
CONNELLSVILLE, PA 15425
CONNELLSVILLE, PA 15425
33aNPI1720072861assigned 09/06/2005
33bProvider typeFamily Medicine Physician
28Total paid$51K
24GClaims9,209
24DCodes billed21
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#917 of 2,756
Median peer was paid$19K
This provider vs. median2.7×
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 | 507 | $4K | |
| 2021 | 3,462 | $21K | |
| 2022 | 2,178 | $11K | |
| 2023 | 1,731 | $10K | |
| 2024incomplete | 1,331 | $5K |
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 | 74% | 1,062 | 1,009 | $38K |
| 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 | 16% | 152 | 150 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 44 | 30 | $1K |
| 92552 | 2.0% | 118 | 118 | $1K | |
| 99173 | 1.5% | 117 | 117 | $776.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.3% | 30 | 30 | $660.00 |
| G0008 | Administration of influenza virus vaccine | 1.3% | 63 | 63 | $658.22 |
| 93000 | <1% | 25 | 25 | $396.18 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 26 | 26 | $293.76 |
| 90674 | <1% | 34 | 34 | $231.00 | |
| 2000F | <1% | 1,162 | 1,131 | $0.02 | |
| 1160F | <1% | 1,573 | 1,466 | $0.01 |
9 more codes
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.