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    OpenPayerNPI Medicare & MedicaidDaniel Jones
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    Daniel Jones — Billing Profile & Reimbursement Data

    NPI 1124448279 · Cedar City, UT · Orthopaedic Surgery Physician

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    Daniel Jones is a orthopaedic surgery physician provider located in Cedar City, Utah. This profile covers 8 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDaniel Jones
    Address1335 Northfield Rd
    CityCedar City
    StateUT
    ZIP84721
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedApril 16, 2014

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

    Payer SourceTotal Paid
    Medicare$80.8K
    Medicaid$0

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…60$960$53.9K
    99204The 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…80$120$9.7K
    27036In this procedure, the provider performs surgery on a hip joint capsule, which might involve excision of the heterotopic bone and release of the hip flexor muscle.20$380$7.7K
    99213The 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…70$60$4.2K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…60$40$2.4K
    99214The 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…10$100$1.3K
    99203The provider sees a new 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 provider…10$80$1K
    99232The 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…10$50$540

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2713098030$960$28.8K
    992143,9534,08080$80$11.6K
    2703611020$380$7.7K
    992131,7843,68060$50$6.4K
    9923286988060$60$6.1K
    992041621,79030$100$4.1K
    992031,1871,36030$70$2.7K
    9921213168030$40$1.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yaser MetwallyOROrthopaedic Surgery Physician$214.1K$0
    Ryan ColleyOROrthopaedic Surgery Physician$125K$0
    Tyler SouthardORPhysician Assistant$68.1K$0
    Richard LotzORFamily Nurse Practitioner$29.3K$0
    Susan WatkinsORFamily Nurse Practitioner$21.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ihc Health Services, Inc.UTGeneral Acute Care Hospital$0$20.4M
    Paiute Indian Tribe Of UtahUTClinic/Center$0$16.4M
    Cedar View Pediatric DentistryUTPediatric Dentistry$0$2.5M
    Paiute Indian Tribe Of UtahUTDental Clinic/Center$0$1.4M
    Nathan CallUTPediatric Dentistry$0$1.4M
    Cedar Orthopaedic Surgery Center, LLCUTAmbulatory Surgical Clinic/Center$726K$0
    Ihc Health Services IncUTFamily Medicine Physician$0$525K
    Brett Robbins Msn Rn Cs Fnp IncUTFamily Nurse Practitioner$0$475.1K
    Ihc Health Services IncUTFamily Medicine Physician$0$431.9K
    Ihc Health Services IncUTDurable Medical Equipment & Medical Supplies$0$384.7K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Utah Distribution
    Daniel Jones — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah