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    OpenPayerNPI Medicare & MedicaidJonathan Sims
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    Jonathan Sims — Billing Profile & Reimbursement Data

    NPI 1124075122 · Eugene, OR · Diagnostic Radiology Physician

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    Jonathan Sims is a diagnostic radiology physician provider located in Eugene, Oregon. This profile covers 58 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)

    FieldValue
    Entity TypeIndividual
    OrganizationJonathan Sims
    Address1200 Hilyard St Ste 330
    CityEugene
    StateOR
    ZIP97401
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedMay 27, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$222.8K
    Medicaid$110

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    58 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…1,390$60$78K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…1,360$30$35.4K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.160$70$11.7K
    77066The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…120$50$6.2K
    77049The provider obtains images of both breasts by applying an external magnetic field and radiofrequency waves to create three–dimensional images, with and without contrast; he may also perform…40$140$6K
    19083Under ultrasound guidance, the provider takes breast tissue percutaneously from a single lesion for biopsy. He may place a localization device at the same time.10$390$5.4K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.100$60$5.4K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.90$50$5K
    76642In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images.170$30$4.8K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.80$60$4.8K

    Showing 1–10 of 58

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 58 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    58 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    770676190190$60$20.5K
    7417792280100$80$10.9K
    770636190190$30$10.8K
    721484717050$80$5.8K
    77049114020$130$5K
    7045096260120$30$4.5K
    737212411030$80$4.3K
    712759423050$70$4.3K
    19083194020$240$4K
    73221319030$80$3.9K

    Showing 1–10 of 58

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…10$10$110

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Oregon median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…148150480$10$68.6K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Jonathan Sims, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Curry Health DistrictORCritical Access Hospital$0$13.3M
    Bay Area Hospital DistrictORGeneral Acute Care Hospital$0$8.7M
    Radiology Associates PCORDiagnostic Radiology Physician$0$7.8M
    Coquille Valley Hospital DistrictORCritical Access Hospital$0$7.3M
    Oregon Imaging Centers, L.L.C.ORDiagnostic Radiology Physician$0$2.7M
    Rohit KapoorTXHematology & Oncology Physician$1.2M$0
    David GreenbergORDiagnostic Radiology Physician$997.3K$0
    John DohrmanORDiagnostic Radiology Physician$807.9K$0
    Erik YoungORDiagnostic Radiology Physician$648.6K$0
    Ashley BuiceMSDiagnostic Radiology Physician$646.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Jonathan Sims, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Peacehealth Medical GroupORFamily Medicine Physician$0$45.3M
    Options Counseling Services Of OregonORMental Health Counselor$0$25.9M
    Eugene Emergency Physicians PCOREmergency Medicine Physician$0$16.9M
    Center For Family Development, Inc.ORMental Health Counselor$0$15.6M
    Laurel Hill CenterOREyewear Supplier$0$14M
    Looking Glass Community ServicesORMental Health Counselor$0$13.5M
    PeacehealthORGeneral Acute Care Hospital$0$13.3M
    Addiction Counseling And Education Services Inc.ORMental Health Counselor$0$12.8M
    Oregon Eye Consultants LLCOROphthalmology Physician$0$9.6M
    Ch Mh Services (or), LLCORMental Health Clinic/Center (Including Community Mental Health Center)$0$9.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Oregon Distribution
    Jonathan Sims — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon
    Medicaid Revenue by Year vs. Oregon Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oregon Distribution
    Jonathan Sims — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon