Jones, Patricia

Jones, Patricia was paid $28K by Medicaid between Mar 2021 and Jul 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoJONES, PATRICIA
PHILADELPHIA, PA 19139

33aNPI1942276050assigned 02/28/2006

33bProvider typeGynecology Physician

28Total paid$28K

24GClaims433

24DCodes billed7

24AFirst – last monthMar 2021 – Jul 2024

Compared with peers

Next to other Gynecology Physician providers in Pennsylvania

Rank by total paid#14 of 23

Median peer was paid$32K

This provider vs. median0.9×

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
2021	119	$8K
2022	187	$11K
2023	86	$6K
2024incomplete	41	$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	49%	264	241	$14K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	28%	67	66	$8K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	14%	44	37	$4K
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	3.5%	15	14	$968.32
0012A		2.3%	16	16	$640.00
0011A		2.0%	14	14	$560.00
81025		<1%	13	12	$120.76

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.