Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Worcester › NPI 1972578425
Physician

Jones, Marci

Jones, Marci was paid $1K by Medicaid between May 2023 and Jul 2023, across 2 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 51% of everything it billed.

33Billing provider infoJONES, MARCI
WORCESTER, MA 01605
33aNPI1972578425assigned 02/20/2006
28Total paid$1K
24GClaims39
24DCodes billed2
24AFirst – last monthMay 2023 – Jul 2023
Compared with peers

Next to other Orthopaedic Hand Surgery Physician providers in Massachusetts

Rank by total paid#11 of 14
Median peer was paid$6K
This provider vs. median0.2×

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$200$400$6002018201920202021202220232024
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
202339$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 51% 26 25 $529.45
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 49% 13 13 $503.88

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.