Spaw, James

Spaw, James was paid $54K by Medicaid between Jan 2019 and Jul 2020, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 81% of everything it billed.

33Billing provider infoSPAW, JAMES
ROLLA, MO 65401

33aNPI1811472822assigned 09/26/2018

33bProvider typeFamily Nurse Practitioner

28Total paid$54K

24GClaims1,227

24DCodes billed4

24AFirst – last monthJan 2019 – Jul 2020

Compared with peers

Next to other Family Nurse Practitioner providers in Missouri

Rank by total paid#122 of 745

Median peer was paid$11K

This provider vs. median5.1×

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
2019	860	$38K
2020	367	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	81%	972	935	$44K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	14%	97	97	$8K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.7%	96	95	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.9%	62	34	$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.