Physician
Breisinger, James
Breisinger, James was paid $4K by Medicaid between Apr 2023 and May 2023, across 3 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 46% of everything it billed.
33Billing provider infoBREISINGER, JAMES
LATROBE, PA 15650
LATROBE, PA 15650
33aNPI1811287378assigned 04/18/2011
33bProvider typeFamily Medicine Physician
28Total paid$4K
24GClaims84
24DCodes billed3
24AFirst – last monthApr 2023 – May 2023
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#1,980 of 2,756
Median peer was paid$19K
This provider vs. median0.2×
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 | 84 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 46% | 57 | 29 | $2K |
| 99223 | Prolong inpt eval add15 m | 45% | 13 | 13 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | 9.4% | 14 | 12 | $402.96 |
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.