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NPI 1477754919 · Ashland, KY · Family Medicine Physician
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Derek Jones is a family medicine physician provider located in Ashland, Kentucky. This profile covers 15 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Derek Jones |
| Address | 1101 Saint Christopher Dr |
| City | Ashland |
| State | KY |
| ZIP | 41101 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | May 31, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $109K |
| Medicaid | $1.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 440 | $80 | $35.5K |
| 99213 | The 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… | 540 | $60 | $32.3K |
| 98927 | The provider performs controlled manual pressure in five to six body regions to treat somatic and nonsomatic disorders. | 440 | $40 | $18.9K |
| 99309 | The 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… | 110 | $80 | $8.4K |
| 98926 | The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders. | 160 | $30 | $4.2K |
| 99306 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least… | 20 | $140 | $3.2K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 10 | $200 | $2.6K |
| 20610 | In 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… | 40 | $40 | $1.6K |
| 90694 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL… | 10 | $80 | $910 |
| G0008 | Administration of influenza virus vaccine | 30 | $30 | $750 |
Showing 1–10 of 15
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99309 | 286 | 470 | 170 | $70 | $24.3K |
| 99214 | 788 | 7,230 | 110 | $70 | $14.1K |
| 99306 | 113 | 150 | 50 | $130 | $9.3K |
| 99213 | 308 | 7,250 | 80 | $50 | $7.7K |
| 20610 | 423 | 640 | 80 | $40 | $6.6K |
| 90694 | 579 | 610 | 40 | $70 | $4.9K |
| 98927 | 1 | 10 | 50 | $40 | $4.2K |
| 99496 | 161 | 200 | 20 | $170 | $3.9K |
| G0008 | 1,236 | 1,910 | 50 | $30 | $2K |
| 98926 | 1 | 10 | 30 | $20 | $1.6K |
Showing 1–10 of 15
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99309 | The 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… | 160 | $10 | $1.9K |
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99309 | The 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… | 136 | 230 | 360 | $20 | $50.3K |
Other providers in the same ZIP code as Derek Jones, ranked by combined Medicare and Medicaid revenue.
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.