Physician
Fennell, James
Fennell, James was paid $40K by Medicaid between Jan 2018 and Nov 2020, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoFENNELL, JAMES
LAYTON, UT 84041
LAYTON, UT 84041
33aNPI1912905035assigned 07/12/2005
33bProvider typePediatrics Physician
28Total paid$40K
24GClaims842
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Pediatrics Physician providers in Utah
Rank by total paid#108 of 299
Median peer was paid$16K
This provider vs. median2.5×
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 | 346 | $19K | |
| 2019 | 308 | $14K | |
| 2020 | 188 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 216 | 206 | $20K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 47% | 291 | 274 | $19K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.5% | 144 | 144 | $1K |
| 99051 | 1.9% | 152 | 145 | $766.95 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 24 | 24 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 15 | 15 | $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.