Phillips, James

Phillips, James was paid $43K by Medicaid between Jul 2021 and Nov 2022, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.

33Billing provider infoPHILLIPS, JAMES
WELLESLEY, MA 02481

33aNPI1912988189assigned 11/07/2005

33bProvider typeOrthopaedic Surgery Physician

28Total paid$43K

24GClaims284

24DCodes billed5

24AFirst – last monthJul 2021 – Nov 2022

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Massachusetts

Rank by total paid#39 of 166

Median peer was paid$10K

This provider vs. median4.5×

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
2021	121	$24K
2022	163	$20K

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	59%	80	76	$25K
20610		15%	83	81	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	79	78	$6K
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	12%	27	27	$5K
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	15	15	$132.66

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.