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NPI 1073273462 · Provo, UT · Physician Assistant
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Daniel Jones is a physician assistant provider located in Provo, Utah. This profile covers 15 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Daniel Jones |
| Address | 1055 N. 500 W. |
| City | Provo |
| State | UT |
| ZIP | 84604 |
| Taxonomy | Physician Assistant |
| NPI Enumerated | December 27, 2021 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $21.5K |
| Medicaid | $2.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 180 | $70 | $13.1K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 30 | $90 | $2.9K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 40 | $60 | $2.5K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 20 | $50 | $970 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 50 | $10 | $380 |
| 83630 | The lab analyst performs the qualitative technical test to analyze a stool specimen for the presence of lactoferrin, an indicator of inflammation of the intestinal tract. | 10 | $20 | $230 |
| 87328 | The lab analyst performs a test to detect antigens of the protozoan cryptosporidium using an immunoassay technique, such as EIA. | 10 | $10 | $200 |
| 82728 | The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute… | 10 | $10 | $180 |
| 85027 | The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the… | 30 | $10 | $180 |
| 82274 | The lab analyst uses an immunoassay method to perform a test for hidden blood in a fecal specimen that the patient collects from three consecutive bowel movements or that the clinician acquires… | 10 | $20 | $180 |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 1,009 | 4,080 | 80 | $80 | $11.6K |
| 99213 | 2,335 | 3,680 | 60 | $50 | $6.4K |
| 99232 | 802 | 880 | 60 | $60 | $6.1K |
| 99204 | 681 | 1,790 | 30 | $100 | $4.1K |
| 80053 | 412 | 440 | 60 | $10 | $2.5K |
| 36415 | 473 | 870 | 50 | $10 | $1.6K |
| 80076 | 16 | 20 | 30 | $10 | $1.1K |
| 82728 | 98 | 110 | 40 | $10 | $1.1K |
| 85027 | 25 | 50 | 30 | $10 | $710 |
| 83630 | 6 | 10 | 20 | $20 | $690 |
Showing 1–10 of 15
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 30 | $80 | $2.3K |
How this provider's Medicaid billing volume and revenue compare to other Utah providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Utah median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 1,087 | 1,340 | 200 | $80 | $144K |
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