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

Pugely, James

Pugely, James was paid $69K by Medicaid between Nov 2022 and Nov 2024, across 7 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 53% of everything it billed.

33Billing provider infoPUGELY, JAMES
EUREKA, CA 95501
33aNPI1902985575assigned 11/03/2006
28Total paid$69K
24GClaims1,502
24DCodes billed7
24AFirst – last monthNov 2022 – Nov 2024
Compared with peers

Next to other Allergy & Immunology Physician providers in California

Rank by total paid#34 of 68
Median peer was paid$64K
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$2.5K$5.0K$7.5K2018201920202021202220232024
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
202244$2K
2023765$35K
2024incomplete693$32K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 53% 795 769 $37K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 291 272 $10K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 12% 96 94 $9K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 8.4% 73 70 $6K
99244 Office or other outpatient consultation, moderate to high complexity 6.3% 49 49 $4K
95024 3.2% 34 32 $2K
95117 1.8% 164 125 $1K

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.