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    OpenPayerNPI Medicare & MedicaidJon Pritchett
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    Jon Pritchett — Billing Profile & Reimbursement Data

    NPI 1275554867 · Grass Valley, CA · Family Medicine Physician

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    Jon Pritchett is a family medicine physician provider located in Grass Valley, California. This profile covers 54 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
    OrganizationJon Pritchett
    Address360 Sierra College Dr
    CityGrass Valley
    StateCA
    ZIP95945
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 21, 2006

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

    Payer SourceTotal Paid
    Medicare$1M
    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.

    54 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…2,690$90$247.7K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…4,130$50$202.2K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…1,130$80$95.3K
    99487The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…770$110$83.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit450$130$60.8K
    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…660$70$43.2K
    99489The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…710$60$41.2K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…560$60$30.6K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…790$40$30.1K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…340$70$22.4K

    Showing 1–10 of 54

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 54 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    54 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993092451,790210$80$48.1K
    993084391,640190$60$35.5K
    9948917120130$60$31.8K
    9931059184090$120$31.2K
    99490161,060210$50$25.8K
    9921410637,970120$90$23.2K
    99487922090$100$22.9K
    875025819020$90$22.5K
    993063471,32060$150$15.5K
    992155,53215,36050$130$14.4K

    Showing 1–10 of 54

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Louis ChangCAOphthalmology Physician$2.2M$5.9M
    Nosheen KhanNYPodiatrist$7.7M$0
    Alok BansalCAOphthalmology Physician$3M$4.7M
    Sarju PatelCAUveitis and Ocular Inflammatory Disease (Ophthalmology) Physician$7.5M$0
    Carlos Medina MendezCARetina Specialist (Ophthalmology) Physician$6M$0
    Inder SinghCAInterventional Cardiology Physician$4.7M$0
    Robert WendelCARetina Specialist (Ophthalmology) Physician$4.7M$0
    Roger GoldbergCARetina Specialist (Ophthalmology) Physician$4.6M$0
    James JoyeCAInterventional Cardiology Physician$4.5M$0
    Cameron PoleCAOphthalmology Physician$4.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of NevadaCAMental Health Clinic/Center (Including Community Mental Health Center)$0$88.3M
    Chapa-de Indian Health Program, Inc.CAFederally Qualified Health Center (FQHC)$0$84.6M
    Western Sierra Medical Clinic, Inc.CAFederally Qualified Health Center (FQHC)$0$27.8M
    Sierra Nevada Memorial-miners HospitalCAGeneral Acute Care Hospital$0$23M
    Grass Valley Outpatient Surgery Center LPCAAmbulatory Surgical Clinic/Center$426.1K$1.6M
    Sierra Endoscopy Center, LLCCAAmbulatory Surgical Clinic/Center$1.1M$577.9K
    Sierra Ambulatory Surgery CenterCAAmbulatory Surgical Clinic/Center$1.2M$0
    Anna WilsonCADiagnostic Radiology Physician$762K$59.2K
    Kuldip GillCAGeriatric Medicine (Internal Medicine) Physician$807.6K$0
    Matthew MuellenhoffCAProcedural Dermatology Physician$736.5K$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. California Distribution
    Jon Pritchett — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California