Physician
Jones, Steven
Jones, Steven was paid $561K by Medicaid between Jan 2018 and Jun 2022, across 69 billing codes. Its largest line is 80053, Comprehensive metabolic panel — 11% of everything it billed.
33Billing provider infoJONES, STEVEN
EFFINGHAM, IL 62401
EFFINGHAM, IL 62401
33aNPI1215998174assigned 03/30/2006
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$561K
24GClaims95,163
24DCodes billed69
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Illinois
Rank by total paid#80 of 398
Median peer was paid$66K
This provider vs. median8.5×
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 | 19,475 | $90K | |
| 2019 | 24,522 | $113K | |
| 2020 | 16,776 | $92K | |
| 2021 | 25,166 | $211K | |
| 2022 | 9,224 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80053 | Comprehensive metabolic panel | 11% | 12,080 | 9,287 | $61K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 11% | 1,234 | 1,131 | $61K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 8.3% | 16,574 | 10,881 | $47K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 8.1% | 1,289 | 1,176 | $46K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 5.5% | 1,331 | 1,102 | $31K |
| 87581 | 5.0% | 1,263 | 1,160 | $28K | |
| 87486 | 5.0% | 1,262 | 1,160 | $28K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.0% | 1,632 | 1,458 | $22K |
| 84443 | Thyroid stimulating hormone (TSH) | 3.8% | 2,705 | 2,424 | $21K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.2% | 1,440 | 1,329 | $18K |
| 87430 | 2.7% | 1,939 | 1,852 | $15K | |
| 80048 | Basic metabolic panel (calcium, ionized) | 2.6% | 3,632 | 2,059 | $14K |
57 more codes
| 87040 | 2.3% | 1,384 | $13K | |
| 84484 | 2.2% | 3,050 | $13K | |
| 83690 | 1.6% | 2,783 | $9K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.6% | 461 | $9K |
| 87086 | Culture, bacterial; quantitative colony count, urine | 1.6% | 1,759 | $9K |
| 80306 | 1.5% | 1,466 | $8K | |
| 83735 | 1.5% | 2,452 | $8K | |
| 81001 | 1.4% | 5,890 | $8K | |
| 87186 | 1.2% | 1,076 | $7K | |
| 83605 | 1.2% | 1,410 | $7K | |
| 82962 | <1% | 3,504 | $5K | |
| 86901 | <1% | 2,273 | $5K | |
| 81025 | <1% | 2,641 | $5K | |
| 86850 | <1% | 1,585 | $4K | |
| 83880 | <1% | 473 | $4K | |
| 80061 | Lipid panel | <1% | 1,435 | $4K |
| 85610 | <1% | 2,069 | $4K | |
| 86900 | <1% | 2,274 | $4K | |
| 87088 | <1% | 689 | $4K | |
| 86141 | <1% | 330 | $3K | |
| 85379 | <1% | 691 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 833 | $3K |
| 87070 | <1% | 771 | $2K | |
| 87507 | <1% | 13 | $2K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 298 | $2K |
| 85027 | <1% | 644 | $2K | |
| 82803 | <1% | 232 | $2K | |
| 87400 | <1% | 244 | $2K | |
| 85730 | <1% | 552 | $2K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 74 | $2K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 74 | $2K |
| 87807 | <1% | 309 | $2K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 86 | $1K |
| 87205 | <1% | 708 | $1K | |
| 84439 | <1% | 286 | $1K | |
| 84703 | <1% | 351 | $1K | |
| 81003 | <1% | 1,059 | $1K | |
| 86880 | <1% | 335 | $977.22 | |
| 82607 | <1% | 149 | $888.22 | |
| 86140 | <1% | 299 | $689.72 | |
| 81002 | <1% | 514 | $664.95 | |
| 84030 | <1% | 252 | $657.50 | |
| 82150 | <1% | 184 | $588.52 | |
| 84702 | <1% | 93 | $411.00 | |
| 82805 | <1% | 16 | $401.71 | |
| 82728 | <1% | 70 | $287.08 | |
| 85007 | <1% | 151 | $254.80 | |
| 83540 | <1% | 78 | $242.83 | |
| 83550 | <1% | 54 | $236.88 | |
| 85652 | <1% | 162 | $205.51 | |
| 84100 | <1% | 80 | $116.65 | |
| 80076 | <1% | 35 | $88.05 | |
| 87075 | <1% | 14 | $67.87 | |
| 82565 | <1% | 16 | $35.99 | |
| 84550 | <1% | 16 | $35.36 | |
| 85018 | <1% | 18 | $19.72 | |
| 85014 | <1% | 17 | $18.56 |
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.