Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OK › Wagoner › NPI 1811529209
Physician

James, Teresa

James, Teresa was paid $140K by Medicaid between Nov 2020 and Jun 2023, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.

33Billing provider infoJAMES, TERESA
WAGONER, OK 74467
33aNPI1811529209assigned 02/04/2020
28Total paid$140K
24GClaims2,062
24DCodes billed6
24AFirst – last monthNov 2020 – Jun 2023
Compared with peers

Next to other Family Medicine Physician providers in Oklahoma

Rank by total paid#179 of 351
Median peer was paid$153K
This provider vs. median0.9×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
202068$4K
2021682$43K
2022885$61K
2023427$32K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 73% 1,529 1,300 $102K
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 25% 367 321 $35K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 13 13 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 15 14 $663.91
96127 <1% 28 26 $97.83
96160 <1% 110 102 $9.06

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.