Mooney, James

Mooney, James was paid $14K by Medicaid between Mar 2019 and Dec 2021, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.

33Billing provider infoMOONEY, JAMES
WINSTON SALEM, NC 27157

33aNPI1841213972assigned 07/26/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$14K

24GClaims337

24DCodes billed2

24AFirst – last monthMar 2019 – Dec 2021

Compared with peers

Next to other Orthopaedic Surgery Physician providers in North Carolina

Rank by total paid#39 of 66

Median peer was paid$19K

This provider vs. median0.8×

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	168	$7K
2020	74	$3K
2021	95	$4K

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	85%	302	298	$12K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	15%	35	35	$2K

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.