Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WHITNEY JAMES, MD, PC

NPI: 1760997126 · PRESCOTT, AZ 86301 · Neurological Surgery Physician · NPI assigned 12/07/2017

$149K
Total Medicaid Paid
2,586
Total Claims
1,910
Beneficiaries
4
Codes Billed
2018-08
First Month
2024-05
Last Month

Provider Details

Authorized OfficialJAMES, WHITNEY (OWNER)
NPI Enumeration Date12/07/2017

Related Entities

Other providers sharing the same authorized official: JAMES, WHITNEY

ProviderCityStateTotal Paid
PERRY FAMILY DENTAL PERRY OK $605.82

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19 $115.80
2019 181 $5K
2020 438 $26K
2021 610 $38K
2022 637 $43K
2023 560 $30K
2024 141 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,368 1,712 $133K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 163 157 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32 27 $1K
G3002 Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) 23 14 $31.78