Physician
Jones, Justin
Jones, Justin was paid $1.24M by Medicaid between Jan 2018 and Dec 2020, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoJONES, JUSTIN
GREENEVILLE, TN 37743
GREENEVILLE, TN 37743
33aNPI1316128101assigned 11/20/2007
33bProvider typePediatrics Physician
28Total paid$1.24M
24GClaims45,515
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#66 of 333
Median peer was paid$139K
This provider vs. median8.9×
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 | 15,577 | $418K | |
| 2019 | 16,482 | $460K | |
| 2020 | 13,456 | $360K |
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 | 36% | 10,514 | 8,826 | $447K |
| 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 | 13% | 2,496 | 2,300 | $165K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.5% | 1,726 | 1,610 | $117K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.4% | 3,167 | 2,949 | $117K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.4% | 1,698 | 1,589 | $103K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.8% | 1,409 | 1,346 | $97K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.8% | 798 | 743 | $60K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.6% | 3,193 | 2,972 | $44K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 1,602 | 790 | $19K |
| 92551 | 1.4% | 2,487 | 2,344 | $18K | |
| 96127 | 1.2% | 3,526 | 3,254 | $15K | |
| 99173 | <1% | 2,581 | 2,434 | $11K |
24 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 982 | $10K |
| 83655 | <1% | 546 | $6K | |
| 90651 | <1% | 281 | $3K | |
| 85018 | <1% | 587 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 86 | $1K |
| 36416 | <1% | 677 | $972.47 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29 | $857.33 |
| 90734 | <1% | 226 | $806.25 | |
| 90716 | <1% | 601 | $506.84 | |
| 99442 | <1% | 21 | $443.03 | |
| 90707 | <1% | 609 | $293.10 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 74 | $151.36 |
| 90461 | <1% | 451 | $100.00 | |
| 90686 | <1% | 520 | $46.54 | |
| 90700 | <1% | 55 | $35.33 | |
| 81003 | <1% | 13 | $18.13 | |
| 90696 | <1% | 145 | $0.03 | |
| 90723 | 0% | 954 | $0.00 | |
| 90647 | 0% | 944 | $0.00 | |
| 99000 | 0% | 54 | $0.00 | |
| 90670 | 0% | 1,234 | $0.00 | |
| 90681 | 0% | 591 | $0.00 | |
| 90715 | 0% | 32 | $0.00 | |
| 90633 | 0% | 606 | $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.