Jones, Donald

Jones, Donald was paid $56K by Medicaid between Jan 2018 and Dec 2023, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoJONES, DONALD
POPLAR BLUFF, MO 63901

33aNPI1649217951assigned 06/02/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$56K

24GClaims1,144

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Missouri

Rank by total paid#83 of 358

Median peer was paid$16K

This provider vs. median3.6×

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	546	$21K
2019	220	$11K
2020	220	$11K
2022	128	$10K
2023	30	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	48%	630	432	$27K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	24%	213	199	$13K
59025	Fetal non-stress test	6.2%	122	56	$4K
54150		6.1%	24	24	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	5.2%	37	36	$3K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	4.4%	27	27	$2K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	2.5%	29	26	$1K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.7%	37	37	$933.12
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	1.1%	13	12	$627.33
99238	Hospital discharge day management, 30 minutes or less	1.1%	12	12	$599.96

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.