Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Highland Park › NPI 1992909667
Physician

Castle, James

Castle, James was paid $2K by Medicaid between Jul 2019 and May 2024, across 4 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 41% of everything it billed.

33Billing provider infoCASTLE, JAMES
HIGHLAND PARK, IL 60035
33aNPI1992909667assigned 06/14/2007
33bProvider typeNeurology Physician
28Total paid$2K
24GClaims53
24DCodes billed4
24AFirst – last monthJul 2019 – May 2024
Compared with peers

Next to other Neurology Physician providers in Illinois

Rank by total paid#321 of 371
Median peer was paid$18K
This provider vs. median0.1×

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$250$500$7502018201920202021202220232024
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
201915$422.83
202325$1K
2024incomplete13$10.29
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 41% 12 12 $748.68
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 35% 13 13 $644.32
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 23% 15 13 $422.83
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 13 13 $10.29

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.