Physician
Richards, James
Richards, James was paid $34K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 57% of everything it billed.
33Billing provider infoRICHARDS, JAMES
COOKEVILLE, TN 38506
COOKEVILLE, TN 38506
33aNPI1831181205assigned 08/22/2005
33bProvider typeFamily Medicine Physician
28Total paid$34K
24GClaims2,597
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#376 of 754
Median peer was paid$34K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 567 | $7K | |
| 2019 | 550 | $7K | |
| 2020 | 340 | $5K | |
| 2021 | 173 | $4K | |
| 2022 | 214 | $3K | |
| 2023 | 395 | $5K | |
| 2024incomplete | 358 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 57% | 1,275 | 1,138 | $19K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 26% | 952 | 886 | $9K |
| 99306 | Prolong nursin fac eval 15m | 17% | 370 | 347 | $6K |
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.