Howard, James

Howard, James was paid $10K by Medicaid between Feb 2021 and Jun 2022, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider infoHOWARD, JAMES
SAULT SAINTE MARIE, MI 49783

33aNPI1841304961assigned 08/18/2006

33bProvider typeUrology Physician

28Total paid$10K

24GClaims428

24DCodes billed5

24AFirst – last monthFeb 2021 – Jun 2022

Compared with peers

Next to other Urology Physician providers in Michigan

Rank by total paid#25 of 41

Median peer was paid$22K

This provider vs. median0.5×

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	184	$5K
2022	244	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	39%	58	53	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	36%	78	77	$4K
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	23%	25	25	$2K
51798		1.8%	38	38	$187.74
81002		<1%	229	215	$31.68

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.