Sullivan, James

Sullivan, James was paid $79K by Medicaid between Jan 2018 and Feb 2020, across 5 billing codes. Its largest line is 99284, emergency room visit (serious) — 66% of everything it billed.

33Billing provider infoSULLIVAN, JAMES
LEOMINSTER, MA 01453

33aNPI1730161308assigned 11/18/2005

33bProvider typeEmergency Medicine Physician

28Total paid$79K

24GClaims879

24DCodes billed5

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Emergency Medicine Physician providers in Massachusetts

Rank by total paid#110 of 618

Median peer was paid$8K

This provider vs. median9.6×

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	581	$54K
2019	270	$22K
2020	28	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	66%	600	587	$53K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	28%	174	169	$22K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	2.2%	37	37	$2K
99282	Emergency department visit for the evaluation and management, low to moderate severity	2.1%	51	51	$2K
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	1.8%	17	17	$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.