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
WAGONER, OK 74467
33aNPI1811529209assigned 02/04/2020
33bProvider typeFamily Medicine Physician
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
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 | |
|---|---|---|---|
| 2020 | 68 | $4K | |
| 2021 | 682 | $43K | |
| 2022 | 885 | $61K | |
| 2023 | 427 | $32K |
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 | 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.