Jones, Marc

Jones, Marc was paid $17K by Medicaid between Jan 2018 and Jan 2022, across 5 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 50% of everything it billed.

33Billing provider infoJONES, MARC
BEDFORD, IN 47421

33aNPI1013951292assigned 06/16/2006

33bProvider typeOphthalmology Physician

28Total paid$17K

24GClaims949

24DCodes billed5

24AFirst – last monthJan 2018 – Jan 2022

Compared with peers

Next to other Ophthalmology Physician providers in Indiana

Rank by total paid#65 of 107

Median peer was paid$43K

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	210	$2K
2019	237	$4K
2020	246	$5K
2021	240	$5K
2022	16	$492.40

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	50%	733	664	$9K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	40%	148	144	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.8%	13	12	$653.94
92015	Determination of refractive state	3.6%	39	39	$604.59
V2020	Frames, purchases	1.8%	16	15	$310.67

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.