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    OpenPayerNPI Medicare & MedicaidTimothy Jones
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    Timothy Jones — Billing Profile & Reimbursement Data

    NPI 1366437402 · Avila Beach, CA · Family Medicine Physician

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    Timothy Jones is a family medicine physician provider located in Avila Beach, California. This profile covers 15 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
    OrganizationTimothy Jones
    Address6621 Bay Laurel Pl Ste A
    CityAvila Beach
    StateCA
    ZIP93424
    TaxonomyFamily Medicine Physician
    NPI EnumeratedSeptember 14, 2005

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

    Payer SourceTotal Paid
    Medicare$67K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…150$100$14.9K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…150$50$7.2K
    J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose120$60$7.1K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…40$170$6.7K
    27369The provider injects contrast material into the knee joint prior to contrast knee arthrography or contrast–enhanced CT or MRI knee arthrography to enhance the internal structures such as cartilage,…40$160$6.3K
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…50$120$6K
    73580In this procedure, the provider performs imaging supervision and interpretation of a knee joint study. The provider injects contrast material into the knee joint and takes a series of X–rays as it…40$110$4.3K
    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…20$130$2.9K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…30$90$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…20$100$2.1K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9935033555080$140$38.8K
    99349738870110$90$31.7K
    2736981060$170$26.9K
    9921433,88437,970120$90$23.2K
    7358071040$110$15.5K
    9934872285090$60$13.1K
    9934522129030$150$12.5K
    J7321106230110$60$11.1K
    992053,0238,36030$170$7.2K
    9920413,03219,36040$120$7.2K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stephen CouvillionCARetina Specialist (Ophthalmology) Physician$6.4M$0
    Alessandro CastellarinCARetina Specialist (Ophthalmology) Physician$5.4M$0
    William PaceCANuclear Medicine Physician$4.1M$0
    Dante PieramiciCARetina Specialist (Ophthalmology) Physician$3.7M$0
    Daniel GreenwaldCAMedical Oncology Physician$3.5M$0
    Ma'an NasirCARetina Specialist (Ophthalmology) Physician$3M$0
    Julian DavisCAHematology & Oncology Physician$2.7M$0
    David CarlsonCANuclear Medicine Physician$2.6M$0
    Mukul GuptaCAMedical Oncology Physician$2.3M$0
    Gregg NewmanCAHematology & Oncology Physician$2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kenneth KroneCADiagnostic Radiology Physician$37.8K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Timothy Jones — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California