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    OpenPayerNPI Medicare & MedicaidJamison Jones
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    Jamison Jones — Billing Profile & Reimbursement Data

    NPI 1205031549 · St George, UT · Cardiovascular Disease Physician

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    Jamison Jones is a cardiovascular disease physician provider located in St George, Utah. This profile covers 43 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
    OrganizationJamison Jones
    Address2825 E Mall Dr
    CitySt George
    StateUT
    ZIP84790
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJune 18, 2007

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

    Payer SourceTotal Paid
    Medicare$1M
    Medicaid$0

    Key Findings

    This provider is effectively a single‑payer Medicare practice: Total Medicare revenue reported is $1M and there is no Medicaid billing on file, so Medicaid does not contribute to this provider’s observed revenue mix. Analysts should treat this profile as Medicare‑driven when assessing market impact and contracting leverage.

    Revenue is concentrated in a small set of services: the precomputed top‑3 Medicare codes account for 43.7% of the provider’s Medicare revenue, led by 36482 ($237.3K revenue, 23.7%), followed by 78452 ($115.8K, 11.6%), and 99214 ($84.7K, 8.5%). This level of concentration indicates a reliance on a few high‑revenue procedures for nearly half of Medicare receipts.

    The code mix indicates a dual focus on peripheral venous interventions and advanced cardiac diagnostics. High‑revenue venous procedure codes such as 36482, 36465, 36475, 36471 and add‑on 36483, together with duplex imaging codes 93970 and 93971, point to procedural work for varicose/venous disease, while cardiac imaging and monitoring codes like 78452, A9500, 93306, 93229 and 33285 indicate substantial cardiac imaging, stress/ radionuclide studies, and implantable device activity.

    Several cardiac imaging and diagnostic codes place this provider well above peers nationally: 78452 is labeled an "extreme outlier, far above typical national volume for this code" and A9500 is similarly an "extreme outlier, far above typical national volume for this code," while duplex venous studies 93970 and 93971 are described as "notably above typical national volume." These labels indicate the provider is a high‑volume source for radionuclide cardiac studies and vascular duplex imaging relative to national peers.

    Outpatient evaluation and management activity skews toward higher‑complexity visits: 99214 accounts for $84.7K (8.5%) and is described as "notably above typical national volume," whereas 99213 is comparatively modest and labeled "typical, unremarkable volume." This suggests a patient panel requiring frequent moderate‑complexity follow‑up rather than predominantly low‑level office visits.

    Device implant and remote monitoring services are present but not dominant: 33285 ($54.4K) and monitoring codes such as 93229, 93224, G2066 and 93296 appear in the top codes and are characterized as typical or modest volume for their peer groups. Together these entries show capability in implantable cardiac monitors and remote device management, contributing meaningful but secondary Medicare revenue.

    Tenure in the Medicare program is long: the NPI was enumerated on 2007-06-18 (~19 years ago), indicating an established practice with a sustained billing history that supports observed high volumes in imaging and procedural services. Analysts can interpret current patterns in the context of long‑standing operations rather than a recent entrant.

    Implications for payers and contracting: given a $1M Medicare footprint, concentrated revenue (43.7% in three codes), and extreme/ notable outlier status on high‑cost imaging supplies and studies (78452, A9500, 93970/93971), payers may prioritize utilization review, medical necessity pathways, or targeted contract terms for advanced cardiac imaging and venous ablation services while recognizing the provider’s established role in those service lines.

    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.

    43 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36482In this procedure, the provider inserts a chemical adhesive through a catheter into an incompetent vein in an extremity to ablate the vein. The provider reports this code for treatment of the first…190$1,260$237.3K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…360$320$115.8K
    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…960$90$84.7K
    36465In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…70$1,140$79.6K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…520$130$68.9K
    93229In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect…100$620$63.1K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…430$130$56.4K
    33285The provider inserts a cardiac rhythm monitor with self–contained electrodes into a pocket in the tissues beneath the patient's skin and programs the device according to manufacturer’s directions.20$3,200$54.4K
    J2785Injection, regadenoson, 0.1 mg1,110$40$45.3K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…480$80$39.8K

    Showing 1–10 of 43

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    43 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3648211060$1,180$93.6K
    3646511030$950$38.7K
    9322911020$620$20.9K
    3647531030$670$19.5K
    9330616120220$70$18.5K
    9392531020$160$13.3K
    J2785120250$40$13.1K
    3328541020$620$11.7K
    99214424,08080$80$11.6K
    7845215040$150$9.6K

    Showing 1–10 of 43

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ihc Health Services, Inc.UTChildren's Hospital$0$129.5M
    Ihc Health Services, Inc.UTGeneral Acute Care Hospital$0$68.7M
    Ihc Health Services, Inc.UTGeneral Acute Care Hospital$0$65.8M
    Ihc Health Services IncUTGeneral Acute Care Hospital$0$54.1M
    Ihc Health Services, Inc.UTGeneral Acute Care Hospital$0$44.3M
    Ihc Health Services IncUTHome Infusion Therapy Pharmacy$0$38.1M
    Ihc Health Services IncUTDurable Medical Equipment & Medical Supplies$0$26.9M
    Ihc Health Services IncUTGeneral Acute Care Hospital$0$25.3M
    Revere Health PCUTMulti-Specialty Clinic/Center$0$24M
    Ihc Health Services, Inc.UTClinical Medical Laboratory$2.7M$17.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southwest Utah Community Health CenterUTFederally Qualified Health Center (FQHC)$0$7.3M
    Zion Eye Institute, IncUTAmbulatory Surgical Clinic/Center$6.1M$19.7K
    Summit Behavior ServicesUTCounselor$0$5.4M
    Ihc Health Services IncUTMulti-Specialty Clinic/Center$0$4.4M
    Ron LordUTOphthalmology Physician$3.2M$0
    Joshua CarlsonUTRetina Specialist (Ophthalmology) Physician$2.6M$0
    St George Surgical Center LPUTAmbulatory Surgical Clinic/Center$2.5M$0
    Coral Desert Surgery Center LLCUTAmbulatory Surgical Clinic/Center$2.5M$17.8K
    Ihc Health Services IncUTClinical Medical Laboratory$2.4M$42.7K
    Jerry D Twiggs Md PCUTPediatric Adolescent Medicine Physician$0$2.2M

    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. Utah Distribution
    Jamison Jones — 13 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah