Physician
Mcginnis, James
Mcginnis, James was paid $63K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoMCGINNIS, JAMES
WHEELERSBURG, OH 45694
WHEELERSBURG, OH 45694
33aNPI1902958028assigned 01/17/2007
33bProvider typeFamily Medicine Physician
28Total paid$63K
24GClaims14,284
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#284 of 739
Median peer was paid$30K
This provider vs. median2.1×
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
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 | 2,803 | $4K | |
| 2019 | 3,488 | $395.28 | |
| 2020 | 3,176 | $14K | |
| 2021 | 2,945 | $37K | |
| 2022 | 1,511 | $4K | |
| 2023 | 177 | $2K | |
| 2024incomplete | 184 | $1K |
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 | 75% | 9,523 | 7,519 | $47K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 13% | 1,244 | 1,161 | $8K |
| 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 | 11% | 2,024 | 1,616 | $7K |
| 20611 | <1% | 38 | 12 | $366.80 | |
| 96127 | <1% | 109 | 103 | $286.37 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 128 | 44 | $59.69 |
| 80305 | <1% | 100 | 68 | $6.67 | |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | <1% | 193 | 102 | $2.14 |
| 95924 | 0% | 15 | 14 | $0.00 | |
| 93040 | 0% | 15 | 14 | $0.00 | |
| 95909 | 0% | 329 | 218 | $0.00 | |
| 96103 | 0% | 69 | 68 | $0.00 |
9 more codes
| 81002 | 0% | 46 | $0.00 | |
| 95925 | 0% | 45 | $0.00 | |
| 95926 | 0% | 211 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 38 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 12 | $0.00 |
| 96004 | 0% | 43 | $0.00 | |
| 95923 | 0% | 30 | $0.00 | |
| 62323 | 0% | 46 | $0.00 | |
| 93923 | 0% | 26 | $0.00 |
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.