Mikeworth, James

Mikeworth, James was paid $844K by Medicaid between Jan 2018 and Feb 2023, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoMIKEWORTH, JAMES
PONTIAC, IL 61764

33aNPI1790927309assigned 03/27/2009

33bProvider typeInternal Medicine Physician

28Total paid$844K

24GClaims22,407

24DCodes billed32

24AFirst – last monthJan 2018 – Feb 2023

Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#72 of 3,722

Median peer was paid$26K

This provider vs. median33×

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	4,951	$188K
2019	6,551	$243K
2020	4,511	$162K
2021	4,292	$164K
2022	1,779	$72K
2023	323	$15K

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	33%	4,256	3,756	$277K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	25%	4,834	4,189	$212K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	11%	1,415	1,166	$97K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	11%	1,248	890	$96K
96110	Developmental screening, with scoring and documentation, per standardized instrument	6.6%	3,145	2,426	$56K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.4%	279	251	$21K
90686		1.8%	1,373	1,139	$15K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.5%	152	148	$13K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.2%	670	567	$10K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	1.2%	314	243	$10K
90670		1.1%	998	866	$9K
90648		<1%	933	768	$7K

20 more codes

90723		<1%	542	$4K
90680		<1%	526	$4K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	140	$4K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	225	$3K
90651		<1%	108	$2K
90633		<1%	269	$2K
90734		<1%	140	$1K
0064A		<1%	12	$496.80
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	52	$473.74
85018		<1%	152	$349.10
90715		<1%	36	$258.38
90698		<1%	35	$237.60
90744		<1%	33	$224.80
90700		<1%	15	$193.46
36415	Collection of venous blood by venipuncture	<1%	228	$153.38
93793		<1%	22	$121.21
81002		<1%	45	$111.80
90710		<1%	13	$83.46
90696		<1%	13	$83.46
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	184	$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.