Physician
Jones, Kathleen
Jones, Kathleen was paid $433K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 65% of everything it billed.
33Billing provider infoJONES, KATHLEEN
APPLE VALLEY, CA 92307
APPLE VALLEY, CA 92307
33aNPI1548322688assigned 12/14/2006
33bProvider typeOtolaryngology Physician
28Total paid$433K
24GClaims11,406
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Otolaryngology Physician providers in California
Rank by total paid#38 of 168
Median peer was paid$67K
This provider vs. median6.4×
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 | 1,633 | $71K | |
| 2019 | 1,674 | $70K | |
| 2020 | 1,661 | $66K | |
| 2021 | 1,512 | $58K | |
| 2022 | 1,850 | $72K | |
| 2023 | 1,665 | $53K | |
| 2024incomplete | 1,411 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 65% | 4,787 | 4,748 | $280K |
| 92567 | 22% | 4,247 | 4,166 | $96K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 2,135 | 2,031 | $50K |
| 69210 | 1.1% | 224 | 219 | $5K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 13 | 13 | $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.