Physician
James Enterprises, LLC
James Enterprises, LLC was paid $425K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoJAMES ENTERPRISES, LLC
ADDISON, AL 35540
ADDISON, AL 35540
33aNPI1760785406assigned 12/20/2010
33bProvider typeFamily Medicine Physician
28Total paid$425K
24GClaims14,815
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#86 of 455
Median peer was paid$57K
This provider vs. median7.5×
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 | 1,975 | $32K | |
| 2019 | 2,046 | $43K | |
| 2020 | 1,535 | $49K | |
| 2021 | 1,446 | $54K | |
| 2022 | 2,962 | $91K | |
| 2023 | 2,815 | $89K | |
| 2024incomplete | 2,036 | $68K |
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 | 58% | 5,927 | 4,868 | $247K |
| 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 | 35% | 2,547 | 2,263 | $148K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.0% | 2,101 | 1,615 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 76 | 67 | $6K |
| 87428 | 1.2% | 140 | 132 | $5K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 117 | 111 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,325 | 1,145 | $1K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 541 | 426 | $565.40 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 42 | 28 | $440.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 982 | 827 | $277.45 |
| 90674 | <1% | 14 | 14 | $48.10 | |
| 3074F | 0% | 507 | 434 | $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.
From NPPES
Who's on the registration
Authorized officialJAMES, TERRY (OWNER/PHYSICIAN)