Jones, Monica

Jones, Monica was paid $73K by Medicaid between Jan 2018 and Oct 2022, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.

33Billing provider infoJONES, MONICA
SYRACUSE, NY 13224

33aNPI1780673160assigned 10/18/2005

33bProvider typePediatrics Physician

28Total paid$73K

24GClaims2,104

24DCodes billed10

24AFirst – last monthJan 2018 – Oct 2022

Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#741 of 1,983

Median peer was paid$17K

This provider vs. median4.3×

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	654	$22K
2019	670	$23K
2020	428	$17K
2021	255	$9K
2022	97	$3K

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	58%	865	789	$42K
90460	Immunization administration through 18 years of age via any route, first or only component	34%	659	652	$25K
92551		2.8%	259	257	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.4%	12	12	$999.12
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	1.2%	12	12	$896.05
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1.2%	13	12	$853.25
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1.1%	12	12	$767.09
99173		<1%	218	216	$352.85
36415	Collection of venous blood by venipuncture	<1%	37	37	$46.80
90686		<1%	17	17	$35.70

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.