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

O'brien, James

O'brien, James was paid $12K by Medicaid between Sep 2023 and Oct 2024, across 1 billing code. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 100% of everything it billed.

33Billing provider infoO'BRIEN, JAMES
HERSHEY, PA 17033
33aNPI1902203573assigned 11/26/2014
28Total paid$12K
24GClaims72
24DCodes billed1
24AFirst – last monthSep 2023 – Oct 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Pennsylvania

Rank by total paid#270 of 511
Median peer was paid$14K
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.

Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
202316$3K
2024incomplete56$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 100% 72 69 $12K

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.