Jones, Marcia

Jones, Marcia was paid $292K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.

33Billing provider infoJONES, MARCIA
STERLING, IL 61081

33aNPI1114977063assigned 05/11/2006

33bProvider typeFamily Medicine Physician

28Total paid$292K

24GClaims5,676

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#373 of 2,947

Median peer was paid$43K

This provider vs. median6.9×

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	997	$39K
2019	1,375	$61K
2020	1,013	$50K
2021	574	$34K
2022	566	$38K
2023	578	$34K
2024incomplete	573	$37K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	72%	3,427	3,024	$209K
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%	2,088	1,701	$80K
90686		<1%	99	77	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	16	16	$1K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	28	13	$435.54
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	18	13	$250.40

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.