O'brien, James

O'brien, James was paid $18K by Medicaid between Aug 2023 and Jun 2024, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 80% of everything it billed.

33Billing provider infoO'BRIEN, JAMES
SOUTH SAN FRANCISCO, CA 94080

33aNPI1780143024assigned 03/17/2019

33bProvider typeEmergency Medicine Physician

28Total paid$18K

24GClaims263

24DCodes billed3

24AFirst – last monthAug 2023 – Jun 2024

Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#541 of 988

Median peer was paid$32K

This provider vs. median0.6×

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
2023	110	$7K
2024incomplete	153	$11K

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	80%	207	181	$14K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	13%	28	27	$2K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	6.1%	28	28	$1K

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.