Physician
Whitney James, MD, PC
Whitney James, MD, PC was paid $149K by Medicaid between Aug 2018 and May 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 89% of everything it billed.
33Billing provider infoWHITNEY JAMES, MD, PC
PRESCOTT, AZ 86301
PRESCOTT, AZ 86301
33aNPI1760997126assigned 12/07/2017
33bProvider typeNeurological Surgery Physician
28Total paid$149K
24GClaims2,586
24DCodes billed4
24AFirst – last monthAug 2018 – May 2024
Compared with peers
Next to other Neurological Surgery Physician providers in Arizona
Rank by total paid#3 of 10
Median peer was paid$28K
This provider vs. median5.3×
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 | 19 | $115.80 | |
| 2019 | 181 | $5K | |
| 2020 | 438 | $26K | |
| 2021 | 610 | $38K | |
| 2022 | 637 | $43K | |
| 2023 | 560 | $30K | |
| 2024incomplete | 141 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 89% | 2,368 | 1,712 | $133K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 10% | 163 | 157 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 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.) | <1% | 23 | 14 | $31.78 |
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, WHITNEY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Perry Family Dental | Perry, OK | $605.82 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.