Physician
Fowlkes, Jonathan
Fowlkes, Jonathan was paid $122K by Medicaid between Aug 2018 and Apr 2024, across 14 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 51% of everything it billed.
33Billing provider infoFOWLKES, JONATHAN
MISSOULA, MT 59801
MISSOULA, MT 59801
33aNPI1720346844assigned 04/26/2012
33bProvider typeOtolaryngology Physician
28Total paid$122K
24GClaims1,658
24DCodes billed14
24AFirst – last monthAug 2018 – Apr 2024
Compared with peers
Next to other Otolaryngology Physician providers in Montana
Rank by total paid#2 of 10
Median peer was paid$6K
This provider vs. median21×
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 | 97 | $11K | |
| 2019 | 907 | $23K | |
| 2020 | 260 | $13K | |
| 2021 | 127 | $23K | |
| 2022 | 104 | $21K | |
| 2023 | 135 | $26K | |
| 2024incomplete | 28 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 51% | 323 | 310 | $62K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 36% | 409 | 371 | $44K |
| 31231 | 7.6% | 39 | 38 | $9K | |
| 31575 | 3.9% | 38 | 36 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 26 | 24 | $2K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 220 | 201 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 48 | 42 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 88 | 77 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 57 | 52 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 30 | 26 | $0.00 |
| 4040F | 0% | 22 | 18 | $0.00 | |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 24 | 21 | $0.00 |
2 more codes
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.