Physician
Caramanna, James
Caramanna, James was paid $1.15M by Medicaid between Nov 2020 and Feb 2023, across 7 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 62% of everything it billed.
33Billing provider infoCARAMANNA, JAMES
GREENSBURG, PA 15601
GREENSBURG, PA 15601
33aNPI1932378304assigned 02/29/2008
33bProvider typeInternal Medicine Physician
28Total paid$1.15M
24GClaims9,934
24DCodes billed7
24AFirst – last monthNov 2020 – Feb 2023
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#25 of 1,726
Median peer was paid$6K
This provider vs. median177×
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 | |
|---|---|---|---|
| 2020 | 1,491 | $113K | |
| 2021 | 7,508 | $957K | |
| 2022 | 910 | $74K | |
| 2023 | 25 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 62% | 2,569 | 2,569 | $706K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 17% | 4,568 | 3,330 | $194K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 14% | 940 | 939 | $159K |
| 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 | 5.7% | 1,212 | 1,038 | $65K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 568 | 541 | $21K |
| 80305 | <1% | 48 | 48 | $618.99 | |
| 96127 | <1% | 29 | 29 | $228.80 |
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.