Dale E. Jones, MD PSC

Dale E. Jones, MD PSC was paid $14K by Medicaid between Jan 2019 and Jun 2020, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 96% of everything it billed.

33Billing provider infoDALE E. JONES, MD PSC
MAYFIELD, KY 42066

33aNPI1407057177assigned 05/30/2007

33bProvider typeFamily Medicine Physician

28Total paid$14K

24GClaims938

24DCodes billed3

24AFirst – last monthJan 2019 – Jun 2020

Compared with peers

Next to other Family Medicine Physician providers in Kentucky

Rank by total paid#265 of 352

Median peer was paid$90K

This provider vs. median0.2×

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
2019	754	$10K
2020	184	$5K

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	96%	859	539	$14K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.7%	63	44	$532.84
90656		<1%	16	13	$90.10

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.

From NPPES

Who's on the registration

Authorized officialJONES, DALE (PHYSICIAN OWNER)