Maguire, James

Maguire, James was paid $11K by Medicaid between Jan 2018 and Feb 2018, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoMAGUIRE, JAMES
FALL RIVER, MA 02721

33aNPI1891750105assigned 04/19/2006

33bProvider typeAllergy & Immunology Physician

28Total paid$11K

24GClaims240

24DCodes billed8

24AFirst – last monthJan 2018 – Feb 2018

Compared with peers

Next to other Allergy & Immunology Physician providers in Massachusetts

Rank by total paid#24 of 37

Median peer was paid$30K

This provider vs. median0.4×

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	240	$11K

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	61%	101	95	$7K
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	23%	28	28	$3K
90460	Immunization administration through 18 years of age via any route, first or only component	4.6%	16	16	$515.02
99051		3.9%	24	24	$437.28
99050		2.4%	18	15	$273.76
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.8%	20	20	$205.00
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	1.6%	21	21	$178.52
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.3%	12	12	$148.63

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.