Jones, Brian

Jones, Brian was paid $28K by Medicaid between May 2023 and Dec 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.

33Billing provider infoJONES, BRIAN
WAYNESBURG, PA 15370

33aNPI1518408756assigned 03/20/2017

33bProvider typePediatric Nurse Practitioner

28Total paid$28K

24GClaims641

24DCodes billed2

24AFirst – last monthMay 2023 – Dec 2024

Compared with peers

Next to other Pediatric Nurse Practitioner providers in Pennsylvania

Rank by total paid#15 of 62

Median peer was paid$7K

This provider vs. median4.2×

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
2023	181	$6K
2024incomplete	460	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	63%	330	304	$17K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	37%	311	289	$10K

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.