Higgins, James

Higgins, James was paid $5K by Medicaid between Jan 2018 and Apr 2018, across 5 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 88% of everything it billed.

33Billing provider infoHIGGINS, JAMES
ENCINO, CA 91436

33aNPI1982781191assigned 11/01/2006

33bProvider typeInternal Medicine Physician

28Total paid$5K

24GClaims544

24DCodes billed5

24AFirst – last monthJan 2018 – Apr 2018

Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#1,608 of 2,679

Median peer was paid$13K

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

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
2018	544	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	88%	378	105	$5K
99223	Prolong inpt eval add15 m	4.6%	49	48	$237.90
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	3.3%	50	50	$170.70
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	2.4%	28	28	$123.42
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	1.7%	39	32	$86.22

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.