Ferguson, James

Ferguson, James was paid $21K by Medicaid between Jan 2018 and Jun 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.

33Billing provider infoFERGUSON, JAMES
EAST ISLIP, NY 11730

33aNPI1730183013assigned 06/02/2005

33bProvider typeFamily Medicine Physician

28Total paid$21K

24GClaims724

24DCodes billed5

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#1,038 of 2,605

Median peer was paid$10K

This provider vs. median2.0×

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	180	$6K
2019	79	$3K
2020	291	$8K
2021	110	$3K
2022	51	$516.36
2024incomplete	13	$0.00

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	85%	456	410	$18K
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	7.9%	42	38	$2K
99308	Subsequent nursing facility care, per day, straightforward	6.6%	181	103	$1K
36415	Collection of venous blood by venipuncture	<1%	32	29	$26.82
1036F		0%	13	12	$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.