Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Price, James

Price, James was paid $2K by Medicaid between Feb 2019 and Jan 2021, across 2 billing codes. Its largest line is 99285, emergency room visit (most serious) — 83% of everything it billed.

33Billing provider infoPRICE, JAMES
MURRAY, UT 84107
33aNPI1760802250assigned 04/23/2014
28Total paid$2K
24GClaims31
24DCodes billed2
24AFirst – last monthFeb 2019 – Jan 2021
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in Utah

Rank by total paid#50 of 66
Median peer was paid$9K
This provider vs. median0.2×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
201917$380.08
202114$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 83% 14 14 $2K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 17 16 $380.08

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.