Total Payments
$238.55
2024 Payments
$66.72
Companies
6
Transactions
13
Medicare Patients
1,602
Medicare Billing
$91,609
Payment Breakdown by Category
Food & Beverage$238.55 (100.0%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $238.55 | 13 | 100.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Axsome Therapeutics, Inc. | $82.50 | 4 | $0 (2024) |
| ABBVIE INC. | $57.50 | 3 | $0 (2022) |
| Otsuka America Pharmaceutical, Inc. | $43.92 | 3 | $0 (2023) |
| Biofrontera Inc. | $21.22 | 1 | $0 (2024) |
| Exact Sciences Corporation | $20.27 | 1 | $0 (2023) |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $13.14 | 1 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $66.72 | 3 | Axsome Therapeutics, Inc. ($32.36) |
| 2023 | $86.38 | 5 | Axsome Therapeutics, Inc. ($50.14) |
| 2022 | $85.45 | 5 | ABBVIE INC. ($57.50) |
All Payment Transactions
13 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 11/15/2024 | ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | CAPLYTA (Drug) | Food and Beverage | In-kind items and services | $13.14 | General |
| Category: PSYCHIATRY | ||||||
| 08/31/2024 | Axsome Therapeutics, Inc. | Auvelity (Drug) | Food and Beverage | In-kind items and services | $32.36 | General |
| Category: Psychology/Psychiatric | ||||||
| 02/07/2024 | Biofrontera Inc. | AMELUZ (Drug), BF-RhodoLED, XEPI | Food and Beverage | Cash or cash equivalent | $21.22 | General |
| Category: DERMATOLOGY | ||||||
| 10/27/2023 | Otsuka America Pharmaceutical, Inc. | REXULTI (Drug) | Food and Beverage | In-kind items and services | $15.97 | General |
| Category: PSYCHIATRY | ||||||
| 10/27/2023 | Axsome Therapeutics, Inc. | Auvelity (Drug) | Food and Beverage | In-kind items and services | $15.63 | General |
| Category: Psychology/Psychiatric | ||||||
| 09/28/2023 | Exact Sciences Corporation | Cologuard Collection Kit (Device) | Food and Beverage | In-kind items and services | $20.27 | General |
| Category: Oncology | ||||||
| 09/07/2023 | Axsome Therapeutics, Inc. | Auvelity (Drug) | Food and Beverage | In-kind items and services | $16.61 | General |
| Category: Psychology/Psychiatric | ||||||
| 07/28/2023 | Axsome Therapeutics, Inc. | Auvelity (Drug) | Food and Beverage | In-kind items and services | $17.90 | General |
| Category: Psychology/Psychiatric | ||||||
| 08/10/2022 | ABBVIE INC. | VRAYLAR (Drug) | Food and Beverage | In-kind items and services | $23.44 | General |
| Category: NEUROSCIENCE | ||||||
| 06/09/2022 | ABBVIE INC. | VRAYLAR (Drug) | Food and Beverage | In-kind items and services | $22.17 | General |
| Category: NEUROSCIENCE | ||||||
| 06/08/2022 | Otsuka America Pharmaceutical, Inc. | REXULTI (Drug) | Food and Beverage | In-kind items and services | $13.96 | General |
| Category: PSYCHIATRY | ||||||
| 05/11/2022 | ABBVIE INC. | VRAYLAR (Drug) | Food and Beverage | In-kind items and services | $11.89 | General |
| Category: NEUROSCIENCE | ||||||
| 04/06/2022 | Otsuka America Pharmaceutical, Inc. | REXULTI (Drug) | Food and Beverage | In-kind items and services | $13.99 | General |
| Category: PSYCHIATRY | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 8 | 197 | 277 | $32,747 | $13,344 |
| 2022 | 9 | 330 | 492 | $43,878 | $19,214 |
| 2021 | 11 | 491 | 779 | $55,102 | $28,817 |
| 2020 | 12 | 584 | 841 | $65,328 | $30,234 |
Total Patients
1,602
Total Services
2,389
Medicare Billing
$91,609
Procedure Codes
40
All Medicare Procedures & Services
40 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 38 | 71 | $11,320 | $4,918 | 43.4% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 65 | 87 | $9,563 | $3,882 | 40.6% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2023 | 14 | 23 | $4,877 | $2,363 | 48.4% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 22 | 22 | $3,490 | $1,257 | 36.0% |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | Office | 2023 | 18 | 18 | $2,762 | $639.14 | 23.1% |
| 96372 | Injection of drug or substance under skin or into muscle | Office | 2023 | 13 | 23 | $575.00 | $162.35 | 28.2% |
| 81002 | Urinalysis, manual test | Office | 2023 | 16 | 19 | $101.00 | $64.79 | 64.1% |
| 36415 | Insertion of needle into vein for collection of blood sample | Office | 2023 | 11 | 14 | $59.00 | $57.82 | 98.0% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2022 | 130 | 164 | $13,120 | $7,542 | 57.5% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 46 | 66 | $10,428 | $4,403 | 42.2% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 59 | 91 | $9,919 | $4,228 | 42.6% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2022 | 14 | 16 | $3,392 | $1,481 | 43.7% |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | Office | 2022 | 18 | 18 | $2,826 | $757.43 | 26.8% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 14 | 14 | $2,198 | $437.50 | 19.9% |
| 96372 | Injection of drug or substance under skin or into muscle | Office | 2022 | 22 | 35 | $875.00 | $274.31 | 31.3% |
| 81002 | Urinalysis, manual test | Office | 2022 | 16 | 20 | $100.00 | $69.05 | 69.1% |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | Office | 2022 | 11 | 68 | $1,020 | $22.46 | 2.2% |
| 99212 | Established patient outpatient visit, total time 10-19 minutes | Office | 2021 | 161 | 195 | $13,700 | $8,918 | 65.1% |
| 99202 | New patient outpatient visit, total time 15-29 minutes | Office | 2021 | 99 | 99 | $10,648 | $5,502 | 51.7% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 60 | 101 | $10,129 | $5,464 | 53.9% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 48 | 72 | $10,680 | $5,112 | 47.9% |
| 99215 | Established patient outpatient visit, total time 40-54 minutes | Office | 2021 | 16 | 19 | $3,772 | $1,950 | 51.7% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Office | 2021 | 23 | 23 | $3,413 | $1,426 | 41.8% |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | Office | 2021 | 21 | 27 | $675.00 | $188.01 | 27.9% |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 2021 | 15 | 96 | $288.00 | $89.10 | 30.9% |
About James Pail, PAC
James Pail, PAC is a Physician Assistant healthcare provider based in Essexville, Michigan. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 02/12/2014. The National Provider Identifier (NPI) number assigned to this provider is 1093139982.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, James Pail, PAC has received a total of $238.55 in payments from pharmaceutical and medical device companies, with $66.72 received in 2024. These payments were reported across 13 transactions from 6 companies. The most common payment nature is "Food and Beverage" ($238.55).
As a Medicare-enrolled provider, Pail has provided services to 1,602 Medicare beneficiaries, totaling 2,389 services with total Medicare billing of $91,609. Data is available for 4 years (2020–2023), covering 40 distinct procedure/service records.
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Practice Information
- Specialty Physician Assistant
- Location Essexville, MI
- Active Since 02/12/2014
- Last Updated 02/19/2024
- Taxonomy Code 363A00000X
- Entity Type Individual
- NPI Number 1093139982
Products in Payments
- Auvelity (Drug) $82.50
- VRAYLAR (Drug) $57.50
- REXULTI (Drug) $43.92
- AMELUZ (Drug) $21.22
- Cologuard Collection Kit (Device) $20.27
- CAPLYTA (Drug) $13.14
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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