Hall, James

Hall, James was paid $68K by Medicaid between Jan 2018 and Aug 2022, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 27% of everything it billed.

33Billing provider infoHALL, JAMES
BROOKHAVEN, MS 39601

33aNPI1811007313assigned 08/30/2006

33bProvider typeOphthalmology Physician

28Total paid$68K

24GClaims2,388

24DCodes billed7

24AFirst – last monthJan 2018 – Aug 2022

Compared with peers

Next to other Ophthalmology Physician providers in Mississippi

Rank by total paid#25 of 75

Median peer was paid$24K

This provider vs. median2.9×

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	709	$25K
2019	469	$15K
2020	471	$10K
2021	409	$11K
2022	330	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	27%	252	219	$18K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	24%	539	473	$16K
92015	Determination of refractive state	21%	1,014	911	$14K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	14%	160	146	$10K
92340	Fitting of spectacles, except for aphakia; monofocal	9.8%	321	288	$7K
V2020	Frames, purchases	4.0%	89	85	$3K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	<1%	13	13	$409.29

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.