Physician
Jones, Hilary
Jones, Hilary was paid $164K by Medicaid between Nov 2020 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoJONES, HILARY
BEAVER, PA 15009
BEAVER, PA 15009
33aNPI1104818228assigned 08/16/2005
33bProvider typePediatrics Physician
28Total paid$164K
24GClaims5,749
24DCodes billed30
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#384 of 1,257
Median peer was paid$45K
This provider vs. median3.6×
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 | |
|---|---|---|---|
| 2020 | 48 | $690.51 | |
| 2021 | 720 | $24K | |
| 2022 | 926 | $30K | |
| 2023 | 924 | $24K | |
| 2024incomplete | 3,131 | $86K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 1,289 | 1,257 | $45K |
| 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 | 27% | 831 | 807 | $44K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 18% | 292 | 289 | $29K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 237 | 235 | $21K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.9% | 171 | 170 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 53 | 53 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 39 | 38 | $2K |
| 92551 | <1% | 652 | 644 | $1K | |
| 99051 | <1% | 27 | 27 | $675.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 91 | 91 | $618.59 |
| 99173 | <1% | 552 | 547 | $572.60 | |
| 99188 | <1% | 24 | 24 | $478.82 |
18 more codes
| 96160 | <1% | 209 | $230.34 | |
| 96127 | <1% | 94 | $189.34 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 111 | $150.13 |
| 90670 | <1% | 41 | $132.00 | |
| 94760 | <1% | 18 | $38.20 | |
| 96161 | <1% | 104 | $22.98 | |
| 85018 | <1% | 24 | $20.94 | |
| 80061 | Lipid panel | <1% | 83 | $19.07 |
| 90686 | <1% | 91 | $11.00 | |
| G9920 | Screening performed and negative | 0% | 393 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 44 | $0.00 |
| 90734 | 0% | 13 | $0.00 | |
| 99499 | 0% | 73 | $0.00 | |
| 90647 | 0% | 26 | $0.00 | |
| 90656 | 0% | 25 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 72 | $0.00 |
| 90677 | 0% | 44 | $0.00 | |
| 90723 | 0% | 26 | $0.00 |
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.