Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › West Plains › NPI 1821035569
Physician

Jones, Robert

Jones, Robert was paid $239K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is J2778, Injection, ranibizumab, 0.1 mg — 30% of everything it billed.

33Billing provider infoJONES, ROBERT
WEST PLAINS, MO 65775
33aNPI1821035569assigned 06/01/2006
33bProvider typeOphthalmology Physician
28Total paid$239K
24GClaims7,507
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in Missouri

Rank by total paid#12 of 83
Median peer was paid$19K
This provider vs. median13×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018948$55K
2019834$47K
2020832$20K
20211,135$35K
2022876$13K
20231,780$46K
2024incomplete1,102$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J2778 Injection, ranibizumab, 0.1 mg 30% 265 238 $72K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 23% 439 309 $55K
67028 Intravitreal injection of a pharmacologic agent 20% 1,635 1,250 $48K
92134 8.4% 2,563 2,029 $20K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 6.5% 871 732 $16K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.7% 665 566 $14K
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 2.1% 118 101 $5K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1.5% 107 98 $3K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 101 86 $2K
92136 <1% 219 103 $2K
92133 <1% 250 199 $2K
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% 14 14 $921.19
6 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 60 $747.05
4177F 0% 40 $0.00
5010F 0% 46 $0.00
2021F 0% 32 $0.00
2027F 0% 66 $0.00
2022F 0% 16 $0.00

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.