Jones, David

Jones, David was paid $162K by Medicaid between Mar 2018 and Oct 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.

33Billing provider infoJONES, DAVID
DECATUR, IL 62521

33aNPI1942292412assigned 08/19/2005

33bProvider typeFamily Medicine Physician

28Total paid$162K

24GClaims3,214

24DCodes billed8

24AFirst – last monthMar 2018 – Oct 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#685 of 2,947

Median peer was paid$43K

This provider vs. median3.8×

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	576	$29K
2019	1,222	$60K
2020	466	$21K
2021	456	$26K
2022	222	$10K
2023	134	$7K
2024incomplete	138	$7K

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%	1,646	1,403	$109K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	30%	1,120	921	$49K
90686		<1%	85	64	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	39	24	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	12	12	$923.36
36415	Collection of venous blood by venipuncture	<1%	227	205	$80.00
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	32	29	$37.73
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	53	44	$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.