Physician
Jones, Paul
Jones, Paul was paid $59K by Medicaid between Jan 2018 and Jun 2021, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoJONES, PAUL
CHICAGO, IL 60612
CHICAGO, IL 60612
33aNPI1417956509assigned 07/20/2005
28Total paid$59K
24GClaims1,301
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers in Illinois
Rank by total paid#4 of 11
Median peer was paid$26K
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2018 | 378 | $16K | |
| 2019 | 352 | $15K | |
| 2020 | 311 | $16K | |
| 2021 | 260 | $12K |
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 | 40% | 771 | 660 | $24K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 32% | 280 | 259 | $19K |
| 31575 | 8.3% | 47 | 38 | $5K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 5.9% | 59 | 46 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.8% | 79 | 79 | $3K |
| 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 | 4.0% | 53 | 45 | $2K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 3.6% | 12 | 12 | $2K |
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.