Physician
Mortimer, James
Mortimer, James was paid $503K by Medicaid between Jan 2018 and Jul 2023, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoMORTIMER, JAMES
JEFFERSON, NC 28640
JEFFERSON, NC 28640
33aNPI1750375184assigned 08/31/2005
33bProvider typePediatrics Physician
28Total paid$503K
24GClaims13,331
24DCodes billed40
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#255 of 433
Median peer was paid$942K
This provider vs. median0.5×
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 | 552 | $34K | |
| 2019 | 183 | $13K | |
| 2020 | 1,292 | $41K | |
| 2021 | 1,418 | $46K | |
| 2022 | 6,353 | $235K | |
| 2023 | 3,533 | $134K |
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 | 30% | 2,674 | 2,486 | $151K |
| 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 | 20% | 1,314 | 1,228 | $103K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 787 | 786 | $68K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 697 | 687 | $64K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 612 | 612 | $53K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.6% | 328 | 328 | $28K |
| 99051 | 1.6% | 282 | 264 | $8K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.3% | 208 | 169 | $7K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 44 | 40 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 196 | 188 | $3K |
| 90687 | <1% | 287 | 218 | $2K | |
| 90670 | <1% | 533 | 488 | $1K |
28 more codes
| 90698 | <1% | 170 | $1K | |
| 87428 | <1% | 55 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 32 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | $1K |
| 90688 | <1% | 42 | $943.92 | |
| 99173 | <1% | 467 | $632.30 | |
| 90680 | <1% | 283 | $621.50 | |
| 99188 | <1% | 17 | $336.60 | |
| 96127 | <1% | 521 | $326.32 | |
| 90633 | <1% | 160 | $293.80 | |
| 92551 | <1% | 778 | $265.40 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 587 | $199.27 |
| 90707 | <1% | 99 | $192.10 | |
| 90716 | <1% | 36 | $135.60 | |
| 96160 | <1% | 474 | $87.31 | |
| 96161 | <1% | 495 | $36.15 | |
| 83655 | <1% | 259 | $17.27 | |
| 80061 | Lipid panel | <1% | 28 | $0.16 |
| 90648 | 0% | 351 | $0.00 | |
| 90715 | 0% | 13 | $0.00 | |
| 90734 | 0% | 25 | $0.00 | |
| 90651 | 0% | 42 | $0.00 | |
| 85018 | 0% | 27 | $0.00 | |
| 90723 | 0% | 267 | $0.00 | |
| 90686 | 0% | 74 | $0.00 | |
| 85013 | 0% | 12 | $0.00 | |
| 90696 | 0% | 14 | $0.00 | |
| 90619 | 0% | 15 | $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.