Behavioral
Jones, Theodore
Jones, Theodore was paid $14K by Medicaid between Jan 2018 and Mar 2021, across 6 billing codes. Its largest line is 90791, psychiatric diagnostic evaluation — 37% of everything it billed.
33Billing provider infoJONES, THEODORE
KNOXVILLE, TN 37909
KNOXVILLE, TN 37909
33aNPI1457382780assigned 07/05/2006
33bProvider typeClinical Psychologist
28Total paid$14K
24GClaims711
24DCodes billed6
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other Clinical Psychologist providers in Tennessee
Rank by total paid#31 of 54
Median peer was paid$16K
This provider vs. median0.9×
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 | 303 | $6K | |
| 2019 | 389 | $8K | |
| 2021 | 19 | $143.50 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 37% | 254 | 224 | $5K |
| 96101 | 21% | 128 | 111 | $3K | |
| 96137 | 18% | 84 | 79 | $2K | |
| 96130 | 16% | 84 | 79 | $2K | |
| 96136 | 6.4% | 84 | 79 | $876.57 | |
| 96153 | 2.3% | 77 | 66 | $321.74 |
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.