Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Shelby › NPI 1730130881
Physician

Jones, Stephen

Jones, Stephen was paid $20K by Medicaid between Jan 2021 and May 2023, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoJONES, STEPHEN
SHELBY, NC 28150
33aNPI1730130881assigned 05/13/2006
28Total paid$20K
24GClaims816
24DCodes billed2
24AFirst – last monthJan 2021 – May 2023
Compared with peers

Next to other Family Medicine Physician providers in North Carolina

Rank by total paid#711 of 960
Median peer was paid$135K
This provider vs. median0.1×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2021251$10K
202241$2K
2023524$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 53% 429 304 $10K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47% 387 241 $9K

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.