Blaugrund, James

Blaugrund, James was paid $34K by Medicaid between Mar 2021 and Sep 2024, across 6 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 58% of everything it billed.

33Billing provider infoBLAUGRUND, JAMES
PITTSBURGH, PA 15237

33aNPI1831162312assigned 02/07/2006

33bProvider typeOtolaryngology Physician

28Total paid$34K

24GClaims552

24DCodes billed6

24AFirst – last monthMar 2021 – Sep 2024

Compared with peers

Next to other Otolaryngology Physician providers in Pennsylvania

Rank by total paid#53 of 136

Median peer was paid$13K

This provider vs. median2.6×

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
2021	166	$11K
2022	143	$10K
2023	127	$7K
2024incomplete	116	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	58%	246	244	$20K
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	29%	216	204	$10K
31231		6.1%	38	38	$2K
31575		4.3%	26	26	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.3%	14	14	$775.84
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.1%	12	12	$367.12

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.