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

James H Johnson JR MD PA

James H Johnson JR MD PA was paid $410K by Medicaid between Oct 2018 and Apr 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 85% of everything it billed.

33Billing provider infoJAMES H JOHNSON JR MD PA
SARASOTA, FL 34243
33aNPI1871983924assigned 01/28/2015
28Total paid$410K
24GClaims3,667
24DCodes billed4
24AFirst – last monthOct 2018 – Apr 2024
Compared with peers

Next to other Pediatric Neurodevelopmental Disabilities Physician providers in Florida

Rank by total paid#5 of 7
Median peer was paid$543K
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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official JOHNSON, JAMES controls 15+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
201813$933.79
2019277$30K
2020758$104K
2021885$124K
2022984$73K
2023676$71K
2024incomplete74$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 85% 3,282 2,842 $348K
99244 Office or other outpatient consultation, moderate to high complexity 13% 287 268 $54K
95819 1.9% 85 83 $8K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 13 13 $933.79

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.

From NPPES

Who's on the registration

Authorized officialJOHNSON, JAMES (PRES)
Same official

Other billing entities under JOHNSON, JAMES

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.