Providers
STEPHEN T JONES, M.D.
NPI 1851568877, individual, New Orleans, LA, Family Medicine
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 37 months, but with up to 7561 patients a month across 4 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 52 of 100, rank 8367, $6.1M at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds, even counting one unit per claim line | 35.6 | 21.4 | 14.3 | 19.2 | 826 | 3 | 99204 99214 99215 | $69K |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 35.3 | 21.0 | 14.0 | 19.6 | 700 | 3 | 99203 99204 99214 99215 | $62K |
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 39.7 | 24.3 | 16.2 | 22.8 | 888 | 3 | 99203 99204 99214 99215 | $79K |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 50.2 | 28.1 | 18.7 | 26.8 | 1016 | 3 | 99204 99214 99215 | $89K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 29.2 | 20.5 | 13.7 | 18.4 | 781 | 3 | 99204 99214 99215 | $67K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 37.1 | 43.1 | 28.7 | 38.7 | 1508 | 4 | 99202 99204 99205 99214 99215 | $138K |
| Sep 2018 | More hours than a day holds, even counting one unit per claim line | 43.6 | 39.6 | 26.4 | 39.6 | 1558 | 4 | 99202 99204 99205 99212 99213 99214 99215 | $125K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 44.3 | 42.2 | 28.1 | 37.9 | 1479 | 4 | 99202 99204 99205 99212 99214 99215 | $135K |
| Nov 2018 | More hours than a day holds, even counting one unit per claim line | 38.1 | 37.0 | 24.7 | 33.6 | 1242 | 4 | 99202 99204 99205 99212 99214 99215 | $113K |
| Dec 2018 | More hours than a day holds, even counting one unit per claim line | 37.0 | 34.5 | 23.0 | 33.9 | 1272 | 4 | 99202 99204 99205 99212 99214 99215 | $108K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 46.5 | 42.7 | 28.4 | 38.3 | 1500 | 4 | 99202 99204 99205 99212 99213 99214 99215 | $139K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 63.7 | 59.7 | 39.8 | 55.7 | 1822 | 4 | 99204 99205 99212 99214 99215 | $174K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 47.1 | 45.8 | 30.6 | 45.1 | 1637 | 4 | 99204 99205 99212 99213 99214 99215 | $147K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 51.9 | 49.8 | 33.2 | 45.3 | 1688 | 4 | 99204 99205 99212 99213 99214 99215 | $155K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 37.3 | 37.3 | 24.9 | 33.6 | 1536 | 4 | 99202 99204 99205 99212 99213 99214 99215 | $124K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 90.0 | 82.0 | 54.7 | 77.0 | 3898 | 4 | 99202 99204 99205 99212 99213 99214 99215 | $291K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 105.8 | 97.5 | 65.0 | 92.9 | 4128 | 4 | 99202 99204 99205 99212 99213 99214 99215 | $326K |
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 81.8 | 79.9 | 53.3 | 71.8 | 3056 | 4 | 99202 99204 99205 99212 99213 99214 99215 | $263K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 75.4 | 73.0 | 48.7 | 69.5 | 2846 | 4 | 99202 99204 99205 99212 99213 99214 99215 | $233K |
| Dec 2019 | More hours than a day holds, even counting one unit per claim line | 56.5 | 52.8 | 35.2 | 49.6 | 1982 | 4 | 99203 99204 99205 99212 99213 99214 99215 | $170K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 75.0 | 67.2 | 44.8 | 60.4 | 2683 | 4 | 99202 99204 99205 99212 99213 99214 99215 | $235K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 70.5 | 63.0 | 42.0 | 60.9 | 2530 | 4 | 99202 99204 99205 99212 99213 99214 99215 | $208K |
| Mar 2020 | More hours than a day holds, even counting one unit per claim line | 61.2 | 50.5 | 33.7 | 47.5 | 2389 | 4 | 90832 99202 99204 99205 99212 99213 99214 99215 | $177K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 32.6 | 28.3 | 18.8 | 25.4 | 1241 | 3 | 99203 99204 99205 99213 99214 99215 | $97K |
| Aug 2020 | More hours than a day holds, even counting one unit per claim line | 30.5 | 26.0 | 17.3 | 25.5 | 1150 | 2 | 99204 99205 99213 99214 99215 | $89K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 38.2 | 32.0 | 21.3 | 29.1 | 1571 | 3 | 99202 99203 99204 99205 99212 99213 99214 99215 | $109K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 50.9 | 36.7 | 24.5 | 34.5 | 2084 | 3 | 99202 99204 99205 99212 99213 99214 99215 | $133K |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 47.4 | 37.4 | 24.9 | 35.6 | 1845 | 3 | 99202 99203 99204 99205 99212 99213 99214 99215 | $128K |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 54.5 | 44.2 | 29.5 | 39.7 | 2311 | 4 | 99202 99203 99204 99205 99212 99213 99214 99215 | $156K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 64.1 | 60.1 | 40.1 | 59.1 | 2930 | 4 | 99203 99204 99205 99213 99214 99215 | $211K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 44.8 | 38.6 | 25.7 | 36.0 | 2072 | 3 | 99202 99203 99204 99205 99212 99213 99214 99215 | $125K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 43.6 | 37.9 | 25.3 | 34.1 | 2231 | 3 | 99202 99203 99204 99205 99212 99213 99214 99215 | $137K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 41.8 | 34.2 | 22.8 | 31.1 | 1909 | 4 | 99202 99203 99204 99205 99212 99213 99214 99215 | $118K |
| May 2021 | More hours than a day holds, even counting one unit per claim line | 37.5 | 29.5 | 19.7 | 29.0 | 1561 | 3 | 99203 99204 99205 99213 99214 99215 | $104K |
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 34.9 | 31.6 | 21.1 | 28.7 | 1499 | 4 | 99202 99203 99204 99205 99212 99213 99214 99215 | $108K |
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 57.0 | 45.6 | 30.4 | 42.8 | 2676 | 2 | 99203 99204 99205 99213 99214 99215 | $164K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 140.6 | 118.4 | 78.9 | 111.2 | 7561 | 4 | 99202 99203 99204 99205 99212 99213 99214 99215 | $438K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | STEPHEN T JONES, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | May 8, 2008, last updated June 23, 2014 |
| Practice location | 3218 SAINT CLAUDE AVE, New Orleans, LA 70117-6659, 504-324-7790 |
| Specialties | Family Medicine (207Q00000X, primary, license MD203855 LA) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $2.5M | 31% | $81 | $60 (top 5% from $133) | 71st percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $1.4M | 17% | $95 | $95 (top 5% from $171) | 50th percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $882K | 11% | $82 | $88 (top 5% from $210) | 45th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $455K | 6% | $46 | $44 (top 5% from $110) | 53rd percentile | |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | $438K | 5% | $40 | $33 (top 5% from $45) | 83rd percentile | |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | $409K | 5% | $79 | $71 (top 5% from $112) | 62nd percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $368K | 4% | $59 | $67 (top 5% from $121) | 37th percentile | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $336K | 4% | $112 | $128 (top 5% from $249) | 39th percentile |
In this area
4 providers in Orleans Parish County, LA carry an indicator in the public record, with $1.3M at stake between them. The most common is named in an enforcement record, on 2 of them, followed by more hours than a day holds on 2. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | SHIVA AKULA New Orleans, LA, ranked 643 | $0 |
|
| 3 | ELAINE HANDCOCK New Orleans, LA, ranked 1338 | $123K |
|
| 4 | EMILY LEONHARD New Orleans, LA, ranked 9565 | $104K |
|
| 5 | AJSA NIKOLIC New Orleans, LA, ranked 11000 | $1.1M |
Recent enforcement in LA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJOtherJul 30, 2026
Louisiana U.S. Attorneys Highlight Nine Recent Fraud Prosecutions Across the State
A nurse practitioner was sentenced for a health care fraud scheme involving over $12 million in fraudulent Medicare claims for medically unnecessary cancer genetic tests and receipt of kickbacks, and a New Orleans physician was charged with health care fraud for allegedly submitting $5.9 million in fraudulent claims to Medicare, Medicaid, and Humana for care not provided, in-person care for patients outside the state, and claims using other providers' identities.
DOJChargedJun 23, 2026
National Health Care Fraud Takedown Results in 455 Defendants Charged in Fraud Scheme Totaling Over $6.5 Billion
Defendants were charged in connection with schemes to submit claims for medically unnecessary respiratory pathogen panel testing, claims for care a physician did not provide, and false Medicaid claims for personal care services not rendered.
DOJSentencedJun 17, 2026
Nurse Practitioner Sentenced to 87 Months in Prison for $12M Medicare Fraud
A nurse practitioner received kickbacks for signing hundreds of orders for medically unnecessary cancer genetic tests after brief phone calls with patients without examining them, causing over $12.1 million in false and fraudulent claims to Medicare.
DOJSentencedApr 10, 2026
Slidell Doctor Sentenced For $6.6 Million In Health Care Fraud
Tassin, working through purported telemedicine companies, signed doctors' orders for cancer genetic tests for Medicare beneficiaries he never saw, spoke to, or treated, falsely certifying medical necessity in exchange for a set fee of typically $30 per order.
DOJSentencedJan 28, 2026
Slidell Chiropractor Sentenced For Health Care Fraud
Peyroux conspired with others to purchase Medicare beneficiary information and fabricated recordings and billed Medicare through his chiropractic clinic for over-the-counter COVID-19 test kits that were not requested or were otherwise ineligible for reimbursement, falsely listing a former nurse practitioner as the referring provider.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.