Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Edgewood › NPI 1982135745
Physician

Makinen, James

Makinen, James was paid $15K by Medicaid between Jul 2021 and May 2023, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 55% of everything it billed.

33Billing provider infoMAKINEN, JAMES
EDGEWOOD, KY 41017
33aNPI1982135745assigned 03/23/2017
28Total paid$15K
24GClaims320
24DCodes billed3
24AFirst – last monthJul 2021 – May 2023
Compared with peers

Next to other Emergency Medicine Physician providers in Kentucky

Rank by total paid#57 of 91
Median peer was paid$34K
This provider vs. median0.4×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
202145$2K
2022140$6K
2023135$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 55% 162 162 $8K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 28% 88 88 $4K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 16% 70 69 $2K

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.