Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DAVID R JONES M.D.,P.A.

NPI: 1407032782 · ORANGE, TX 77630 · Pain Medicine (Anesthesiology) Physician

$63K
Total Medicaid Paid
19,538
Total Claims
17,849
Beneficiaries
31
Codes Billed
2019-04
First Month
2024-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 687 $24.81
2020 7,293 $12K
2021 6,396 $41K
2022 3,614 $6K
2023 1,433 $4K
2024 115 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 994 964 $26K
99214 1,947 1,762 $25K
80307 1,438 1,378 $9K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 1,599 1,508 $3K
99213 180 173 $1K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 143 136 $480.60
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 109 108 $263.08
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 802 727 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 822 731 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 610 557 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 131 125 $0.00
1036F 923 822 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 604 558 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 305 286 $0.00
G9583 Patients prescribed opiates for longer than six weeks 566 517 $0.00
G2197 Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user 21 20 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 12 12 $0.00
1123F 32 28 $0.00
4004F 553 505 $0.00
1124F 985 799 $0.00
G9578 Documentation of signed opioid treatment agreement at least once during opioid therapy 821 743 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,045 931 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,997 1,800 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 165 150 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 880 798 $0.00
G9577 Patients prescribed opiates for longer than six weeks 795 724 $0.00
G0444 Annual depression screening, 5 to 15 minutes 119 118 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 597 555 $0.00
G9584 Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy 313 285 $0.00
G0030 Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user 12 12 $0.00
99212 18 17 $0.00