Jones, John

Jones, John was paid $27K by Medicaid between Feb 2018 and Aug 2018, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.

33Billing provider infoJONES, JOHN
LYNCHBURG, VA 24501

33aNPI1760432686assigned 05/11/2006

33bProvider typeFamily Medicine Physician

28Total paid$27K

24GClaims550

24DCodes billed7

24AFirst – last monthFeb 2018 – Aug 2018

Compared with peers

Next to other Family Medicine Physician providers in Virginia

Rank by total paid#308 of 772

Median peer was paid$13K

This provider vs. median2.1×

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

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	550	$27K

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	54%	188	173	$14K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	99	91	$5K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12%	41	39	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	8.0%	165	161	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	6.1%	28	28	$2K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	16	16	$221.76
81003		<1%	13	12	$28.86

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.