Jones, Robert

Jones, Robert was paid $6K by Medicaid between Mar 2018 and Jun 2022, across 5 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 40% of everything it billed.

33Billing provider infoJONES, ROBERT
POCATELLO, ID 83201

33aNPI1912015330assigned 08/26/2006

33bProvider typeOphthalmology Physician

28Total paid$6K

24GClaims95

24DCodes billed5

24AFirst – last monthMar 2018 – Jun 2022

Compared with peers

Next to other Ophthalmology Physician providers in Idaho

Rank by total paid#21 of 22

Median peer was paid$43K

This provider vs. median0.1×

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	14	$565.55
2019	18	$710.99
2020	25	$1K
2021	13	$1K
2022	25	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	40%	26	26	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	32	25	$1K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	20%	12	12	$1K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	18%	13	13	$1K
92015	Determination of refractive state	0%	12	12	$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.