Hall, James

Hall, James was paid $7K by Medicaid between Mar 2018 and May 2020, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 58% of everything it billed.

33Billing provider infoHALL, JAMES
MINEOLA, NY 11501

33aNPI1750672101assigned 04/20/2011

33bProvider typeEmergency Medicine Physician

28Total paid$7K

24GClaims281

24DCodes billed6

24AFirst – last monthMar 2018 – May 2020

Compared with peers

Next to other Emergency Medicine Physician providers in New York

Rank by total paid#881 of 2,113

Median peer was paid$5K

This provider vs. median1.4×

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	42	$1K
2019	152	$2K
2020	87	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	58%	109	107	$4K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	31%	58	18	$2K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	6.6%	26	26	$436.29
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	4.7%	12	12	$311.99
G9744	Patient not eligible due to active diagnosis of hypertension	0%	64	62	$0.00
99053		0%	12	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.