Branca, James
Branca, James was paid $21K by Medicaid between Jan 2018 and Apr 2020, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 47% of everything it billed.
33Billing provider infoBRANCA, JAMES
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
33aNPI1770794869assigned 05/24/2007
33bProvider typeLicensed Practical Nurse
28Total paid$21K
24GClaims284
24DCodes billed3
24AFirst – last monthJan 2018 – Apr 2020
Compared with peers
Next to other Licensed Practical Nurse providers in Missouri
Rank by total paid#6 of 8
Median peer was paid$39K
This provider vs. median0.5×
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 | 195 | $13K | |
| 2019 | 25 | $2K | |
| 2020 | 64 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 47% | 118 | 117 | $10K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 32% | 76 | 76 | $7K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 20% | 90 | 90 | $4K |
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.