Physician
Jones, Theodore
Jones, Theodore was paid $27K by Medicaid between Dec 2020 and Mar 2022, across 5 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 38% of everything it billed.
33Billing provider infoJONES, THEODORE
DEARBORN, MI 48124
DEARBORN, MI 48124
33aNPI1245270792assigned 06/06/2006
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$27K
24GClaims962
24DCodes billed5
24AFirst – last monthDec 2020 – Mar 2022
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Michigan
Rank by total paid#7 of 9
Median peer was paid$87K
This provider vs. median0.3×
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 | 12 | $289.04 | |
| 2021 | 758 | $21K | |
| 2022 | 192 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 38% | 439 | 415 | $10K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 25% | 248 | 248 | $7K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 20% | 106 | 106 | $5K |
| 76801 | 15% | 152 | 149 | $4K | |
| 76820 | <1% | 17 | 13 | $239.19 |
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.