Physician
Latronica, James
Latronica, James was paid $175K by Medicaid between Nov 2020 and Oct 2021, across 5 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 71% of everything it billed.
33Billing provider infoLATRONICA, JAMES
HERSHEY, PA 17033
HERSHEY, PA 17033
33aNPI1730609157assigned 06/27/2017
33bProvider typeFamily Medicine Physician
28Total paid$175K
24GClaims1,336
24DCodes billed5
24AFirst – last monthNov 2020 – Oct 2021
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#413 of 2,756
Median peer was paid$19K
This provider vs. median9.1×
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 | |
|---|---|---|---|
| 2020 | 169 | $14K | |
| 2021 | 1,167 | $161K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 71% | 453 | 452 | $124K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 12% | 493 | 416 | $21K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 9.2% | 95 | 95 | $16K |
| 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 | 4.7% | 152 | 132 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 143 | 121 | $5K |
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.