Boone, James

Boone, James was paid $5K by Medicaid between Jun 2018 and Jun 2020, across 5 billing codes. Its largest line is 93325, — 30% of everything it billed.

33Billing provider infoBOONE, JAMES
LOU, KY 40207

33aNPI1992754006assigned 05/08/2006

33bProvider typePediatric Cardiology Physician

28Total paid$5K

24GClaims110

24DCodes billed5

24AFirst – last monthJun 2018 – Jun 2020

Compared with peers

Next to other Pediatric Cardiology Physician providers in Kentucky

Rank by total paid#5 of 11

Median peer was paid$4K

This provider vs. median1.0×

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	15	$287.67
2019	39	$1K
2020	56	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93325		30%	27	26	$1K
93303	Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study	29%	14	14	$1K
93320		16%	13	13	$732.26
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	28	27	$705.59
93000		10%	28	28	$471.44

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.