Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Granville › NPI 1265608004
Physician

Jones, Kalpana

Jones, Kalpana was paid $15K by Medicaid between Dec 2023 and Nov 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 85% of everything it billed.

33Billing provider infoJONES, KALPANA
GRANVILLE, OH 43023
33aNPI1265608004assigned 05/01/2008
28Total paid$15K
24GClaims712
24DCodes billed7
24AFirst – last monthDec 2023 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in Ohio

Rank by total paid#427 of 739
Median peer was paid$30K
This provider vs. median0.5×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
202314$28.28
2024incomplete698$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 85% 207 196 $13K
36415 Collection of venous blood by venipuncture 4.8% 142 136 $732.94
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.4% 20 17 $678.64
90656 2.9% 25 25 $444.75
96127 2.1% 49 47 $320.67
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 13 13 $135.48
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 256 241 $6.84

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.