Jones, Joshua

Jones, Joshua was paid $22K by Medicaid between Apr 2023 and Nov 2024, across 5 billing codes. Its largest line is 92060, — 42% of everything it billed.

33Billing provider infoJONES, JOSHUA
TYLER, TX 75701

33aNPI1801320544assigned 04/19/2017

33bProvider typeOphthalmology Physician

28Total paid$22K

24GClaims765

24DCodes billed5

24AFirst – last monthApr 2023 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in Texas

Rank by total paid#109 of 231

Median peer was paid$16K

This provider vs. median1.4×

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
2023	277	$7K
2024incomplete	488	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92060		42%	228	221	$9K
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	33%	186	179	$7K
92015	Determination of refractive state	17%	316	304	$4K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	4.8%	16	14	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.7%	19	18	$607.81

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.