Physician
Marcella P Jones DO PLLC
Marcella P Jones DO PLLC was paid $63K by Medicaid between Jun 2020 and Dec 2022, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoMARCELLA P JONES DO PLLC
SPIRO, OK 74959
SPIRO, OK 74959
33aNPI1720618101assigned 01/24/2020
33bProvider typeInternal Medicine Physician
28Total paid$63K
24GClaims980
24DCodes billed5
24AFirst – last monthJun 2020 – Dec 2022
Compared with peers
Next to other Internal Medicine Physician providers in Oklahoma
Rank by total paid#58 of 108
Median peer was paid$75K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2020 | 187 | $8K | |
| 2021 | 376 | $23K | |
| 2022 | 417 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 59% | 463 | 448 | $37K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 424 | 399 | $24K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 30 | 30 | $2K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 19 | 19 | $82.11 |
| 36415 | Collection of venous blood by venipuncture | <1% | 44 | 44 | $73.41 |
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.
From NPPES
Who's on the registration
Authorized officialJONES, MARCELLA (AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Health Partners Home Care INC. | Hampton, VA | $350K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.