Physician
Jones, Nathan
Jones, Nathan was paid $343K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 59% of everything it billed.
33Billing provider infoJONES, NATHAN
SPRINGFIELD, IL 62781
SPRINGFIELD, IL 62781
33aNPI1568694859assigned 08/20/2009
33bProvider typeEmergency Medicine Physician
28Total paid$343K
24GClaims6,138
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Illinois
Rank by total paid#347 of 1,980
Median peer was paid$150K
This provider vs. median2.3×
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 | 990 | $39K | |
| 2019 | 1,335 | $52K | |
| 2020 | 1,395 | $71K | |
| 2021 | 1,106 | $79K | |
| 2022 | 895 | $66K | |
| 2023 | 267 | $21K | |
| 2024incomplete | 150 | $13K |
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 | 59% | 2,854 | 2,596 | $201K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 30% | 1,990 | 1,765 | $101K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 11% | 1,248 | 1,135 | $39K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 16 | 16 | $1K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 30 | 13 | $755.16 |
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.