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    OpenPayerNPI Medicare & MedicaidDavid Jones
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    David Jones — Billing Profile & Reimbursement Data

    NPI 1477665693 · Bluffton, SC · Orthopaedic Surgery Physician

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    David Jones is a orthopaedic surgery physician provider located in Bluffton, South Carolina. This profile covers 23 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
    OrganizationDavid Jones
    Address8201 Pinellas Dr
    CityBluffton
    StateSC
    ZIP29910
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedSeptember 1, 2006

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

    Payer SourceTotal Paid
    Medicare$277K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…40$1,250$46.3K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…40$790$29.3K
    22558The provider performs arthrodesis, also known as spinal fusion, in the lower back, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a…30$900$28.8K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…90$200$18.6K
    22845The provider places spinal instrumentation at the front of the spine across two to three vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…30$560$16.6K
    22551A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.20$970$15.5K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…30$590$14.8K
    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…140$100$14.3K
    99215The provider sees an established 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…100$140$13.5K
    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…70$180$12.8K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921416,8807,860160$80$23.2K
    22551274020$1,200$21.6K
    22612255020$950$20K
    63047479020$530$13.3K
    9921327,1327,690100$60$10.8K
    22558283020$500$10.4K
    226141445040$210$9.9K
    992154,5692,36040$120$9.3K
    22842455020$400$8.4K
    228401026020$370$7.4K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rhonda WyattCADiagnostic Radiology Physician$1.7M$0
    Ewa BauerCADiagnostic Radiology Physician$1.1M$0
    Douglas HughesCAVascular & Interventional Radiology Physician$1M$0
    Adam AttounCADiagnostic Radiology Physician$1M$0
    Karen GarnaasCANeurology Physician$935.5K$0
    Eric JenkinsonCAPediatric Sports Medicine Physician$863.2K$0
    Kenneth AverillCADiagnostic Radiology Physician$744.6K$0
    Forrest MonroeCAPain Medicine (Anesthesiology) Physician$712K$0
    Tony ChangCASports Medicine (Family Medicine) Physician$615.4K$0
    Reed GrabowCADiagnostic Radiology Physician$607.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lowcountry Therapy Center, LLCSCSpeech-Language Pathologist$0$12.6M
    Seaside Pediatrics Of Bluffton, PCSCPediatrics Physician$0$8.4M
    Tidewater Hospice, Inc.SCCommunity Based Hospice Care Agency$0$3.4M
    Ralph Donald CorporationSCIn Home Supportive Care Agency$0$3.2M
    Courtney DavisSCPediatric Dentistry$0$2.8M
    John BrittisSCRheumatology Physician$1.9M$0
    James MasonSCPediatric Dentistry$0$1.8M
    Scott AnfinsonSCOphthalmology Physician$775.5K$0
    Nicholas CasselSCPhysician Assistant$749.8K$0
    Michael SarradetSCMOHS-Micrographic Surgery Physician$559.6K$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. South Carolina Distribution
    David Jones — 4 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina