Jones, Mary

Jones, Mary was paid $290K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoJONES, MARY
MAYWOOD, IL 60153

33aNPI1740394063assigned 08/17/2006

33bProvider typePediatrics Physician

28Total paid$290K

24GClaims5,283

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#430 of 1,805

Median peer was paid$55K

This provider vs. median5.2×

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	750	$39K
2019	589	$30K
2020	391	$20K
2021	1,079	$62K
2022	716	$39K
2023	940	$50K
2024incomplete	818	$51K

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	36%	2,116	1,818	$103K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	20%	815	740	$57K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	19%	713	585	$56K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	12%	459	390	$36K
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	4.2%	166	152	$12K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.6%	114	69	$10K
96110	Developmental screening, with scoring and documentation, per standardized instrument	2.2%	385	333	$6K
96127		2.2%	418	323	$6K
99238	Hospital discharge day management, 30 minutes or less	<1%	43	43	$1K
D1206	Topical application of fluoride varnish	<1%	42	41	$1K
99173		<1%	12	12	$89.40

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.