James M Richards MD INC
James M Richards MD INC was paid $56K by Medicaid between Jan 2018 and Dec 2022, across 21 billing codes. Its largest line is 99487, Ccm add 20min — 39% of everything it billed.
33Billing provider infoJAMES M RICHARDS MD INC
LOS ANGELES, CA 90045
LOS ANGELES, CA 90045
33aNPI1801931035assigned 02/21/2007
33bProvider typeSpecialist
28Total paid$56K
24GClaims2,661
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Specialist providers in California
Rank by total paid#602 of 1,230
Median peer was paid$51K
This provider vs. median1.1×
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
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 | 1,435 | $22K | |
| 2019 | 948 | $24K | |
| 2022 | 278 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99487 | Ccm add 20min | 39% | 289 | 289 | $22K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 17% | 455 | 223 | $10K |
| 99490 | Ccm add 20min | 11% | 498 | 442 | $6K |
| 99484 | 6.7% | 271 | 271 | $4K | |
| 99454 | 5.8% | 182 | 182 | $3K | |
| 99489 | Ccm add 20min | 5.2% | 128 | 128 | $3K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.1% | 198 | 16 | $2K |
| 99453 | 3.0% | 68 | 52 | $2K | |
| 99091 | 2.3% | 117 | 117 | $1K | |
| 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 | 2.0% | 40 | 37 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 47 | 43 | $1K |
| 99458 | 1.6% | 52 | 52 | $916.66 |
9 more codes
| 99457 | <1% | 57 | $362.23 | |
| 80053 | Comprehensive metabolic panel | 0% | 29 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 17 | $0.00 |
| 83735 | 0% | 29 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 67 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 29 | $0.00 |
| 84439 | 0% | 29 | $0.00 | |
| 80061 | Lipid panel | 0% | 30 | $0.00 |
| 84481 | 0% | 29 | $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.
From NPPES
Who's on the registration
Authorized officialRICHARDS, JAMES (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| City of Belfast | Belfast, ME | $1.12M |
| Community Pharmacy of Albemarle LLC | Albemarle, NC | $49K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.