Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Glen Carbon › NPI 1770977100
Physician

James, Kristen

James, Kristen was paid $87K by Medicaid between Mar 2020 and Dec 2024, across 14 billing codes. Its largest line is 0502F, — 53% of everything it billed.

33Billing provider infoJAMES, KRISTEN
GLEN CARBON, IL 62034
33aNPI1770977100assigned 03/24/2015
28Total paid$87K
24GClaims3,512
24DCodes billed14
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Illinois

Rank by total paid#301 of 911
Median peer was paid$41K
This provider vs. median2.1×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2020231$10K
2021614$23K
2022881$21K
2023511$8K
2024incomplete1,275$26K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0502F 53% 961 669 $46K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38% 440 303 $33K
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 3.4% 40 38 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.4% 25 13 $2K
81025 1.4% 243 206 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.3% 13 12 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 12 12 $117.72
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 412 289 $3.71
3725F 0% 634 494 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 188 146 $0.00
3078F 0% 27 22 $0.00
1036F 0% 387 308 $0.00
2 more codes
3074F 0% 60 $0.00
1126F 0% 70 $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.