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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWesley Jones
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    Wesley Jones — Billing Profile & Reimbursement Data

    NPI 1417183633 · Jacksonville, FL · Anatomic Pathology & Clinical Pathology Physician

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    Wesley Jones is a anatomic pathology & clinical pathology physician provider located in Jacksonville, Florida. This profile covers 20 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
    OrganizationWesley Jones
    Address800 Prudential Dr
    CityJacksonville
    StateFL
    ZIP32207
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedJune 2, 2009

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

    Payer SourceTotal Paid
    Medicare$77K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…710$30$19.1K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…190$60$11.5K
    84165The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…460$10$6K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…280$20$5.9K
    86334The lab analyst performs immunofixation electrophoresis, typically on the patient’s serum, to diagnose and or monitor monoclonal gammopathies or myeloma, a bone marrow tumor.400$10$5.2K
    88331Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during…90$50$4K
    36514Apheresis (also known as pheresis or therapeutic pheresis) is a medical procedure utilizing specialized equipment to remove selected blood constituents (plasma, leukocytes, platelets, or cells) from…50$70$3.9K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…150$30$3.8K
    88321A qualified provider, typically a pathologist, provides consultation and a report on slides prepared elsewhere. A unit of service is the surgical case regardless of the number of slides received.60$60$3.8K
    86077The lab analyst performs a cross match of a specimen that requires interpretation and a written report from the blood bank physician due to a difficult cross match, evaluation of irregular…100$40$3.8K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305263980570$40$83.5K
    8633412100130$20$24.1K
    8831223651070$60$24K
    88341171650260$40$20K
    8416522110150$10$18.8K
    88342190730130$50$16.5K
    8830732490100$70$8.9K
    86335165050$20$7.2K
    883311736050$60$6.8K
    84166445060$20$5.4K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The West Clinic P.C.TNSpecialist$0$16M
    David PortnoyTNHematology & Oncology Physician$6.5M$0
    Kurt TauerTNMedical Oncology Physician$3.9M$0
    Gang TianTNHematology & Oncology Physician$3.8M$0
    Jason ChandlerTNMedical Oncology Physician$3.8M$0
    Southeastern Pathology Associates PCGAAnatomic Pathology & Clinical Pathology Physician$0$3.5M
    Syed Sameer NasirTNHematology & Oncology Physician$3.5M$0
    Ramakrishna BattiniTNHematology & Oncology Physician$3.3M$0
    Eric WiedowerTNHematology & Oncology Physician$2.9M$0
    Bradley SomerTNHematology & Oncology Physician$2.8M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southern Baptist Hospital Of Florida IncFLGeneral Acute Care Hospital$0$88M
    One Call Government Solutions, LLCFLTransportation Broker$0$48.5M
    The Nemours FoundationFLMulti-Specialty Clinic/Center$0$46.2M
    Emergency Physicians IncFLEmergency Medicine Physician$0$34.2M
    Southern Baptist Hospital Of Florida, IncFLChildren's Hospital$0$29.1M
    Nemours Children's Health, Jacksonville, Specialty CareFLMulti-Specialty Clinic/Center$0$23.6M
    Child Guidance Center, Inc.FLMental Health Clinic/Center (Including Community Mental Health Center)$0$8M
    Metro Treatment Of Florida, LPFLMethadone Clinic$168.7K$4.4M
    Swl Services LLCFLClinical Medical Laboratory$4.1M$2.5K
    Gary GaborFLRheumatology Physician$2.7M$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. Florida Distribution
    Wesley Jones — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida