Jones, Edward

Jones, Edward was paid $109K by Medicaid between Jan 2018 and Aug 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.

33Billing provider infoJONES, EDWARD
VALDESE, NC 28690

33aNPI1790757748assigned 02/03/2006

33bProvider typeOtolaryngology Physician

28Total paid$109K

24GClaims5,917

24DCodes billed5

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Otolaryngology Physician providers in North Carolina

Rank by total paid#22 of 42

Median peer was paid$109K

This provider vs. median1.0×

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	1,339	$22K
2019	1,055	$20K
2020	744	$16K
2021	746	$11K
2022	815	$16K
2023	855	$16K
2024incomplete	363	$8K

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	68%	3,284	1,571	$74K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29%	2,050	923	$32K
95117		1.3%	343	117	$1K
92567		1.0%	201	126	$1K
92557		<1%	39	26	$569.73

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.