Physician
James L Chen MD INC
James L Chen MD INC was paid $25K by Medicaid between May 2019 and Oct 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoJAMES L CHEN MD INC
SAN FRANCISCO, CA 94108
SAN FRANCISCO, CA 94108
33aNPI1720345150assigned 04/23/2012
33bProvider typeSports Medicine (Orthopaedic Surgery) Physician
28Total paid$25K
24GClaims1,899
24DCodes billed7
24AFirst – last monthMay 2019 – Oct 2024
Compared with peers
Next to other Sports Medicine (Orthopaedic Surgery) Physician providers in California
Rank by total paid#16 of 33
Median peer was paid$22K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2019 | 133 | $0.00 | |
| 2020 | 462 | $291.12 | |
| 2021 | 401 | $5K | |
| 2022 | 327 | $2K | |
| 2023 | 439 | $13K | |
| 2024incomplete | 137 | $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 | 50% | 1,153 | 1,096 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 27% | 422 | 422 | $7K |
| 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 | 18% | 117 | 109 | $4K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.3% | 57 | 57 | $1K |
| 20610 | <1% | 69 | 55 | $183.16 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 42 | 42 | $0.00 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 39 | 39 | $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 officialCHEN, JAMES (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Waianae District Comprehensive Health and Hospital Board, Incorporated | Waianae, HI | $93K |
| Waianae District Comprehensive Health and Hospital Board, Incorporated | Kapolei, HI | $53K |
| Advanced Orthopaedics & Sports Medicine INC | San Francisco, CA | $823.64 |
| Lifetime Dental Care PLLC | Jackson, MI | $344.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.