Winters, James

Winters, James was paid $21K by Medicaid between Nov 2022 and Nov 2024, across 4 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 61% of everything it billed.

33Billing provider infoWINTERS, JAMES
SPRINGFIELD, IL 62702

33aNPI1730561796assigned 06/25/2015

33bProvider typePlastic and Reconstructive Surgery Physician

28Total paid$21K

24GClaims600

24DCodes billed4

24AFirst – last monthNov 2022 – Nov 2024

Compared with peers

Next to other Plastic and Reconstructive Surgery Physician providers in Illinois

Rank by total paid#10 of 22

Median peer was paid$6K

This provider vs. median3.8×

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
2022	27	$1K
2023	290	$10K
2024incomplete	283	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	61%	298	294	$13K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	25%	165	160	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	11%	110	103	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	3.5%	27	26	$744.00

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.