Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lively, James

Lively, James was paid $85K by Medicaid between Nov 2020 and May 2024, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 49% of everything it billed.

33Billing provider infoLIVELY, JAMES
WHEELING, WV 26003
33aNPI1851648364assigned 08/14/2012
28Total paid$85K
24GClaims1,375
24DCodes billed3
24AFirst – last monthNov 2020 – May 2024
Compared with peers

Next to other Emergency Medicine Physician providers in West Virginia

Rank by total paid#42 of 87
Median peer was paid$75K
This provider vs. median1.1×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
202055$2K
2021386$18K
2022346$16K
2023398$28K
2024incomplete190$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 49% 686 678 $42K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 42% 497 486 $36K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.3% 192 191 $7K

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.