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    OpenPayerNPI Medicare & MedicaidRichard Jones
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    Richard Jones — Billing Profile & Reimbursement Data

    NPI 1285160911 · West Plains, MO · Ophthalmology Physician

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    Richard Jones is a ophthalmology physician provider located in West Plains, Missouri. This profile covers 24 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
    OrganizationRichard Jones
    Address1405 Doctors Dr
    CityWest Plains
    StateMO
    ZIP65775
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 1, 2017

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg19,020$30$551.6K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…290$370$105.3K
    J2778Injection, ranibizumab, 0.1 mg450$180$80.4K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg290$160$44.8K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.480$80$40.1K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.160$230$37.3K
    65778The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.30$910$24.5K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.870$30$24.2K
    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…400$60$23K
    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…250$80$19.4K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J2777105011,730$30$388.9K
    J27781520540$180$203.8K
    669846542050$390$74K
    670284880600$90$69.7K
    6577871030$1,000$48.8K
    J7312410170$160$33.8K
    65820334030$790$29.1K
    15823324040$530$28.6K
    67036122020$980$25.5K
    66982828020$610$22.5K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lester E Cox Medical CentersMOGeneral Acute Care Hospital$0$112.3M
    Partners Physician GroupOHSurgery Physician$0$28.5M
    Lester E Cox Medical CentersMOLand Ambulance$0$25.8M
    Skaggs Community Hospital AssociationMOGeneral Acute Care Hospital$0$18.8M
    Lester E Cox Medical CentersMOFamily Medicine Physician$0$17M
    Lester E Cox Medical CentersMOGeneral Practice Physician$0$9.2M
    Levent AkdumanMOOphthalmology Physician$3.1M$1.4M
    Lester E. Cox Medical CentersMODurable Medical Equipment & Medical Supplies$0$3.5M
    Robert JonesMOOphthalmology Physician$1.6M$239K
    Sundeep DasMOInterventional Cardiology Physician$370.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Restoring Hope, LLCMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$73M
    Ozarks Medical CenterMOGeneral Acute Care Hospital$0$35.8M
    Calstar Air Medical Services LLCMOAir Ambulance$5M$23.6M
    Ozark Independent LivingMOPersonal Care Attendant$0$27.6M
    Newton's Group Home Of West Plains -islMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$23.5M
    Ozarks Medical CenterMOAdult Mental Health Clinic/Center$0$18.5M
    Cal-ore Life Flight LLCMOAir Ambulance$3.6M$14.1M
    Perfect Partners, LLCMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$13.4M
    Lets Go IncMOCommunity/Behavioral Health Agency$0$9.8M
    Howell County Sheltered Workshop BoardMOCase Management Agency$0$6.5M

    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. Missouri Distribution
    Richard Jones — 1 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri