Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Madison Heights › NPI 1962849992
Physician

Sibbett, James

Sibbett, James was paid $191K by Medicaid between Sep 2018 and Nov 2024, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 39% of everything it billed.

33Billing provider infoSIBBETT, JAMES
MADISON HEIGHTS, MI 48071
33aNPI1962849992assigned 05/31/2013
28Total paid$191K
24GClaims4,760
24DCodes billed6
24AFirst – last monthSep 2018 – Nov 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Michigan

Rank by total paid#87 of 248
Median peer was paid$57K
This provider vs. median3.4×

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$5.0K$10K$15K2018201920202021202220232024
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
2018498$17K
20192,593$101K
20201,039$52K
202172$2K
2022190$5K
2023229$7K
2024incomplete139$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 39% 1,236 1,075 $74K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 31% 1,415 1,290 $59K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 20% 1,229 1,127 $39K
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 7.8% 507 499 $15K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.8% 360 252 $4K
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% 13 12 $877.99

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.