Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Judy L. Jones, Family Nurse Practitioner, LLC

Judy L. Jones, Family Nurse Practitioner, LLC was paid $252K by Medicaid between Dec 2020 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoJUDY L. JONES, FAMILY NURSE PRACTITIONER, LLC
WAYNESBORO, TN 38485
33aNPI1457593485assigned 04/06/2009
28Total paid$252K
24GClaims12,181
24DCodes billed25
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Tennessee

Rank by total paid#74 of 687
Median peer was paid$15K
This provider vs. median17×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
202046$2K
2021588$23K
20221,579$52K
20235,629$91K
2024incomplete4,339$84K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 56% 3,851 2,690 $141K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10% 1,063 836 $26K
G3002 Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) 7.4% 920 728 $19K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 5.2% 300 245 $13K
87428 5.0% 230 199 $13K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4.3% 278 218 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4.3% 1,179 733 $11K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1.5% 105 86 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.5% 521 202 $4K
87631 <1% 43 28 $2K
96127 <1% 941 661 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 239 180 $2K
13 more codes
80305 <1% 296 $1K
99203 Doctor's office visit, new patient (routine) <1% 19 $798.64
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 138 $575.16
36415 Collection of venous blood by venipuncture <1% 572 $526.93
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 418 $518.24
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 640 $329.69
99442 <1% 15 $175.44
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 158 $152.73
90688 <1% 18 $101.03
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 150 $97.99
G3003 Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.) <1% 15 $75.47
81003 <1% 51 $30.39
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 21 $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.

From NPPES

Who's on the registration

Authorized officialJONES, JUDY (NURSE PRACTITIONER / OWNER)