Jones, Coleen

Jones, Coleen was paid $30K by Medicaid between Jan 2018 and May 2020, across 4 billing codes. Its largest line is 81025, — 44% of everything it billed.

33Billing provider infoJONES, COLEEN
SAINT LOUIS, MO 63110

33aNPI1053617407assigned 02/02/2011

33bProvider typeWomen's Health Nurse Practitioner

28Total paid$30K

24GClaims734

24DCodes billed4

24AFirst – last monthJan 2018 – May 2020

Compared with peers

Next to other Women's Health Nurse Practitioner providers in Missouri

Rank by total paid#19 of 53

Median peer was paid$12K

This provider vs. median2.5×

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	394	$15K
2019	297	$12K
2020	43	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
81025		44%	376	354	$13K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	80	80	$9K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	15%	56	52	$4K
81003		11%	222	215	$3K

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.