Physician
Donald C Jones MD PC
Donald C Jones MD PC was paid $677K by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.
33Billing provider infoDONALD C JONES MD PC
JACKSON, MI 49203
JACKSON, MI 49203
33aNPI1972782654assigned 10/30/2007
33bProvider typeFamily Medicine Physician
28Total paid$677K
24GClaims36,957
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#177 of 826
Median peer was paid$98K
This provider vs. median6.9×
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 | |
|---|---|---|---|
| 2018 | 4,334 | $122K | |
| 2019 | 3,290 | $106K | |
| 2020 | 2,016 | $72K | |
| 2021 | 2,370 | $109K | |
| 2022 | 5,427 | $133K | |
| 2023 | 11,849 | $87K | |
| 2024incomplete | 7,671 | $46K |
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 | 82% | 9,938 | 9,219 | $558K |
| 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 | 4.8% | 445 | 429 | $33K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.6% | 587 | 554 | $17K |
| 90682 | 1.4% | 166 | 166 | $9K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.3% | 522 | 515 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 606 | 586 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 97 | 97 | $8K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 67 | 67 | $6K |
| 90677 | <1% | 19 | 19 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 494 | 482 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 54 | 54 | $4K |
| 81003 | <1% | 1,672 | 1,635 | $3K |
37 more codes
| 90688 | <1% | 260 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 263 | $2K |
| 90715 | <1% | 49 | $1K | |
| 93000 | <1% | 161 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 199 | $1K |
| 90686 | <1% | 106 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $884.88 |
| 36415 | Collection of venous blood by venipuncture | <1% | 366 | $848.29 |
| 90651 | <1% | 12 | $699.49 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $463.60 |
| 99441 | <1% | 16 | $102.74 | |
| 82044 | <1% | 13 | $58.68 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 28 | $30.00 |
| 2010F | <1% | 2,605 | $2.23 | |
| 3075F | <1% | 614 | $2.23 | |
| 3079F | <1% | 884 | $2.23 | |
| 1159F | <1% | 2,593 | $2.23 | |
| 3008F | 0% | 2,585 | $0.00 | |
| 3074F | 0% | 1,761 | $0.00 | |
| 3044F | 0% | 69 | $0.00 | |
| 1125F | 0% | 455 | $0.00 | |
| 2001F | 0% | 2,610 | $0.00 | |
| 1126F | 0% | 444 | $0.00 | |
| 3351F | 0% | 18 | $0.00 | |
| 1036F | 0% | 28 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 32 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 16 | $0.00 |
| 4000F | 0% | 13 | $0.00 | |
| 3725F | 0% | 2,456 | $0.00 | |
| 1033F | 0% | 1,554 | $0.00 | |
| 3078F | 0% | 1,521 | $0.00 | |
| 1032F | 0% | 408 | $0.00 | |
| 3288F | 0% | 27 | $0.00 | |
| 90649 | 0% | 17 | $0.00 | |
| G9002 | Coordinated care fee, maintenance rate | 0% | 56 | $0.00 |
| 90734 | 0% | 12 | $0.00 | |
| 3077F | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialJONES, DONALD (OWNER)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.