Physician
James, Laurence
James, Laurence was paid $84K by Medicaid between Feb 2019 and Sep 2022, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
33Billing provider infoJAMES, LAURENCE
SWEETWATER, TN 37874
SWEETWATER, TN 37874
33aNPI1932587342assigned 05/18/2015
33bProvider typeInternal Medicine Physician
28Total paid$84K
24GClaims14,393
24DCodes billed22
24AFirst – last monthFeb 2019 – Sep 2022
Compared with peers
Next to other Internal Medicine Physician providers in Tennessee
Rank by total paid#156 of 581
Median peer was paid$15K
This provider vs. median5.5×
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 | |
|---|---|---|---|
| 2019 | 1,326 | $15K | |
| 2020 | 1,641 | $22K | |
| 2021 | 5,228 | $25K | |
| 2022 | 6,198 | $21K |
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 | 63% | 1,664 | 1,455 | $53K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 16% | 1,098 | 325 | $13K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 11% | 2,722 | 2,229 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.4% | 232 | 201 | $5K |
| 99442 | 2.3% | 116 | 99 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | 12 | $582.38 |
| 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 | <1% | 14 | 13 | $429.04 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 12 | 12 | $314.17 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 13 | 12 | $93.96 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 907 | 789 | $0.00 |
| 3017F | 0% | 675 | 552 | $0.00 | |
| 1126F | 0% | 383 | 337 | $0.00 |
10 more codes
| 1123F | 0% | 1,197 | $0.00 | |
| 1036F | 0% | 760 | $0.00 | |
| 3044F | 0% | 479 | $0.00 | |
| 1125F | 0% | 826 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 14 | $0.00 |
| G9900 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified | 0% | 535 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,269 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 745 | $0.00 |
| 4004F | 0% | 442 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 277 | $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.