Physician
Smith, James
Smith, James was paid $76K by Medicaid between Jan 2018 and Feb 2023, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.
33Billing provider infoSMITH, JAMES
STATESVILLE, NC 28677
STATESVILLE, NC 28677
33aNPI1750330254assigned 05/10/2006
33bProvider typePediatrics Physician
28Total paid$76K
24GClaims6,309
24DCodes billed2
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#314 of 433
Median peer was paid$942K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2018 | 285 | $22K | |
| 2019 | 133 | $13K | |
| 2020 | 78 | $8K | |
| 2021 | 1,805 | $15K | |
| 2022 | 3,492 | $17K | |
| 2023 | 516 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 74% | 644 | 543 | $56K |
| 99199 | Unlisted special service, procedure or report | 26% | 5,665 | 5,411 | $20K |
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.