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    OpenPayerNPI Medicare & MedicaidCarroll Jones
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    Carroll Jones — Billing Profile & Reimbursement Data

    NPI 1497734156 · Charlotte, NC · Orthopaedic Surgery Physician

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    Carroll Jones is a orthopaedic surgery physician provider located in Charlotte, North Carolina. This profile covers 22 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
    OrganizationCarroll Jones
    Address2001 Vail Ave
    CityCharlotte
    StateNC
    ZIP28207
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJanuary 11, 2006

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

    Payer SourceTotal Paid
    Medicare$92.2K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…160$90$14.4K
    28750In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first…30$410$10.3K
    28285The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.60$160$9.4K
    28313In this procedure, the provider surgically corrects an angular deformity of the toe, like curly toes, by releasing the tight soft tissues and by transferring the muscle tendons.60$140$8.8K
    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…60$120$6.7K
    28308The provider performs an osteotomy of any metatarsal bone other than the first. He may or may not lengthen, shorten, or correct an angular deformity of the metatarsal. He performs the procedure to…40$180$6.3K
    73620In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality.270$20$5.4K
    20680Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal…20$240$4.8K
    27685The provider performs repair of contracture or other congenital or acquired deformity in a single tendon of the leg or foot. If the tendon is short, he increases its length; if it is longer than…20$190$4.2K
    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…60$70$4K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2875032020$1,430$25.8K
    992147,07518,060110$80$15.1K
    2828543030$390$13.9K
    2831311030$270$9.8K
    2068042020$550$9.4K
    2830821030$340$9.1K
    992138,71016,32070$50$7.1K
    2090211020$440$7K
    2829221020$330$5.6K
    7700223930030$70$5K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charlotte Eye Ear Nose & Throat Associates, P.A.NCOphthalmology Physician$0$20.4M
    OrthocarolinaNCOrthopaedic Surgery Physician$0$12.3M
    Russell GilchristNCInterventional Pain Medicine Physician$665.2K$0
    James MelvinMDOrthopaedic Surgery Physician$518.4K$0
    Mark KurdPAOrthopaedic Surgery Physician$505.1K$0
    Daniel BaluchFLOrthopaedic Surgery of the Spine Physician$456.3K$0
    Ronald SingerNCOrthopaedic Surgery Physician$380.5K$0
    Brian GladnickTXOrthopaedic Surgery Physician$372.8K$0
    Anthony KwonNCOrthopaedic Surgery Physician$371.3K$0
    David HoweNCOrthopaedic Surgery Physician$355.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carolinas Medical CenterNCPediatrics Physician$0$17.8M
    Carolinas Medical CenterNCGeneral Practice Physician$0$16.6M
    Inpatient Consultants Of North Carolina, PCNCInternal Medicine Physician$0$12.1M
    Carolinas Medical CenterNCObstetrics & Gynecology Physician$0$11.8M
    Waveco LLCNCAmbulatory Surgical Clinic/Center$1.6M$0
    Andrew LasterNCRheumatology Physician$1.5M$0
    Justin FavaroNCHematology & Oncology Physician$1.2M$0
    Nasfat ShehadehNCHematology & Oncology Physician$700K$0
    Charlotte Gastroenterology & Hepatology, PLLCNCAmbulatory Surgical Clinic/Center$407.5K$90.2K
    Omar BeheryNCOrthopaedic Surgery Physician$446.2K$220

    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. North Carolina Distribution
    Carroll Jones — 3 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina