Physician
Hickman, James
Hickman, James was paid $136K by Medicaid between Mar 2018 and Dec 2022, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoHICKMAN, JAMES
AMHERST, MA 01002
AMHERST, MA 01002
33aNPI1851371645assigned 01/19/2006
33bProvider typePediatrics Physician
28Total paid$136K
24GClaims3,928
24DCodes billed13
24AFirst – last monthMar 2018 – Dec 2022
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#351 of 1,273
Median peer was paid$24K
This provider vs. median5.7×
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 | 812 | $29K | |
| 2019 | 854 | $32K | |
| 2020 | 473 | $15K | |
| 2021 | 885 | $28K | |
| 2022 | 904 | $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 | 63% | 1,558 | 1,467 | $85K |
| 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 | 15% | 234 | 222 | $20K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.3% | 310 | 241 | $10K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 6.3% | 943 | 941 | $9K |
| 96127 | 3.5% | 457 | 452 | $5K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.8% | 105 | 103 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 165 | 164 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 69 | 69 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | 13 | $1K |
| 90461 | <1% | 12 | 12 | $393.60 | |
| 99173 | <1% | 14 | 14 | $311.08 | |
| 94760 | <1% | 35 | 32 | $69.30 |
1 more codes
| 99000 | <1% | 13 | $13.00 |
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.