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    OpenPayerNPI Medicare & MedicaidVirginia Jones
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    Virginia Jones — Billing Profile & Reimbursement Data

    NPI 1194991125 · Newnan, GA · Surgery of the Hand (Surgery) Physician

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    Virginia Jones is a surgery of the hand (surgery) physician provider located in Newnan, Georgia. This profile covers 21 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
    OrganizationVirginia Jones
    Address2201 Newnan Crossing Blvd E Ste 100
    CityNewnan
    StateGA
    ZIP30265
    TaxonomySurgery of the Hand (Surgery) Physician
    NPI EnumeratedApril 30, 2008

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

    Payer SourceTotal Paid
    Medicare$94.3K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64718In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on the ulnar nerve at the elbow, which an injury or swelling within the…30$480$14.7K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…50$240$12.8K
    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…160$70$10.5K
    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…90$90$8.2K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…40$170$7K
    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…50$110$5.8K
    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…60$80$4.5K
    73130In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.180$30$4.4K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.100$40$3.7K
    64719In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on the ulnar nerve at the wrist. The ulnar nerve is one of the seven major…20$170$3.7K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992147,69713,640120$80$17.8K
    647211410020$440$12.7K
    26055269030$300$11.3K
    6471894020$420$9.7K
    992134,03313,36080$60$9.2K
    206108561,32060$50$5.8K
    2604031020$310$5.5K
    2616062010$390$5.5K
    6471931030$210$5.1K
    992042,1327,26030$110$5.1K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mark StewartGAInterventional Pain Medicine Physician$599.6K$0
    Preetesh PatelGAInterventional Pain Medicine Physician$490.3K$0
    Bradford WaddellTXOrthopaedic Surgery Physician$360.1K$0
    David RosenfeldGAAnesthesiology Physician$345.4K$0
    Hammad MalikGAInterventional Pain Medicine Physician$303.8K$0
    Scott MassonGAInterventional Pain Medicine Physician$297.2K$0
    Arun JosephGAInterventional Pain Medicine Physician$296.8K$0
    Rathi JosephGAPain Medicine (Physical Medicine & Rehabilitation) Physician$277.4K$0
    Pallavi GuptaGAInterventional Pain Medicine Physician$259.8K$0
    Eduardo Escorcia,GAInterventional Pain Medicine Physician$251.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wellstreet Of Georgia PCGAUrgent Care Clinic/Center$0$42.5M
    Adonness BellGAFamily Nurse Practitioner$53.9K$5.6M
    My Kidz Dentist, PCGAPediatric Dentistry$0$3.9M
    Vasileios AssikisGAHematology & Oncology Physician$3M$0
    Minesh PatelGAHematology & Oncology Physician$2.4M$0
    Oghenerukevwe OdieteGAInterventional Cardiology Physician$1.2M$0
    Southern Bone & Joint Ambulatory Surgical Center, LLCGAAmbulatory Surgical Clinic/Center$1.2M$0
    Center For Pain And Spine, LLCGAAmbulatory Surgical Clinic/Center$827.2K$0
    Derek ScottGAPhysical Medicine & Rehabilitation Physician$593.9K$0
    James SmithGAPhysician Assistant$576.9K$0

    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. Georgia Distribution
    Virginia Jones — 1 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia