Jones, Michael

Jones, Michael was paid $41K by Medicaid between Jan 2018 and Feb 2020, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 36% of everything it billed.

33Billing provider infoJONES, MICHAEL
OSAGE BEACH, MO 65065

33aNPI1568468726assigned 06/22/2005

33bProvider typeEmergency Medicine Physician

28Total paid$41K

24GClaims699

24DCodes billed3

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Emergency Medicine Physician providers in Missouri

Rank by total paid#140 of 571

Median peer was paid$14K

This provider vs. median2.9×

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	320	$18K
2019	318	$19K
2020	61	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	36%	151	142	$15K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	33%	201	199	$13K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	31%	347	335	$13K

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.