Physician
Jones, Terry
Jones, Terry was paid $412K by Medicaid between Jan 2018 and Dec 2023, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoJONES, TERRY
SPRINGFIELD, IL 62702
SPRINGFIELD, IL 62702
33aNPI1265530612assigned 09/20/2006
33bProvider typePediatrics Physician
28Total paid$412K
24GClaims11,269
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#343 of 1,805
Median peer was paid$55K
This provider vs. median7.5×
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 | 1,802 | $64K | |
| 2019 | 2,389 | $82K | |
| 2020 | 1,998 | $70K | |
| 2021 | 1,830 | $64K | |
| 2022 | 2,166 | $81K | |
| 2023 | 1,084 | $51K |
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 | 41% | 3,754 | 3,208 | $170K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 1,036 | 876 | $71K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 875 | 785 | $66K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.3% | 470 | 416 | $34K |
| 92551 | 3.9% | 1,049 | 947 | $16K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 199 | 178 | $16K |
| 96127 | 2.2% | 631 | 536 | $9K | |
| 90670 | 1.1% | 546 | 491 | $5K | |
| 99173 | <1% | 551 | 498 | $4K | |
| 90723 | <1% | 494 | 421 | $4K | |
| 90686 | <1% | 393 | 360 | $3K | |
| 90648 | <1% | 454 | 390 | $3K |
17 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 107 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 46 | $1K |
| 90651 | <1% | 133 | $1K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 50 | $1K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 15 | $1K |
| 90680 | <1% | 107 | $777.83 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 15 | $774.79 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 14 | $643.49 |
| 90734 | <1% | 51 | $602.26 | |
| 90715 | <1% | 29 | $430.53 | |
| 90685 | <1% | 47 | $300.80 | |
| 99174 | <1% | 37 | $277.50 | |
| 90633 | <1% | 38 | $243.52 | |
| 90619 | <1% | 12 | $201.36 | |
| 85018 | <1% | 82 | $190.24 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 22 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 12 | $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.