Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Cookeville › NPI 1164589164
Physician

Jones, Michael

Jones, Michael was paid $89K by Medicaid between Dec 2023 and Sep 2024, across 3 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 98% of everything it billed.

33Billing provider infoJONES, MICHAEL
COOKEVILLE, TN 38501
33aNPI1164589164assigned 01/02/2007
33bProvider typeOphthalmology Physician
28Total paid$89K
24GClaims255
24DCodes billed3
24AFirst – last monthDec 2023 – Sep 2024
Compared with peers

Next to other Ophthalmology Physician providers in Tennessee

Rank by total paid#39 of 114
Median peer was paid$15K
This provider vs. median6.0×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
202319$16K
2024incomplete236$73K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 98% 192 169 $87K
92136 1.2% 50 37 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 13 13 $522.89

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.