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    OpenPayerNPI Medicare & MedicaidMicah Jones
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    Micah Jones — Billing Profile & Reimbursement Data

    NPI 1508006388 · Salem, VA · Orthopaedic Hand Surgery Physician

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    Micah Jones is a orthopaedic hand surgery physician provider located in Salem, Virginia. This profile covers 33 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)

    FieldValue
    Entity TypeIndividual
    OrganizationMicah Jones
    Address1802 Braeburn Dr
    CitySalem
    StateVA
    ZIP24153
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedMarch 6, 2009

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

    Payer SourceTotal Paid
    Medicare$197.2K
    Medicaid$760

    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    25115The provider performs extensive removal of diseased tissue, with bursa, synovium, and/or tendon anatomy involved.70$400$28K
    25447The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…40$630$22.8K
    15740The provider creates an island pedicle flap by incising the healthy skin and tissue around the donor site, elevating it, and placing it on an area of wound or injury. This flap is rich in blood…30$650$22.2K
    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…220$70$14.1K
    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$90$12.7K
    15736The provider creates a muscle, myocutaneous, or fasciocutaneous flap from an upper extremity of the patient to treat an injury or open wound on an affected area.10$930$11.1K
    25609The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes…10$830$10K
    26480In this procedure, the provider transfers or transplants a tendon in the carpometacarpal area or the back of the hand. The carpometacarpal area is the articulation of the wrist’s carpal bones with…30$320$9K
    64718In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on the ulnar nerve at the elbow, which an injury or swelling within the…30$280$8.1K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.200$30$6.6K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2560981020$1,780$32K
    2511511070$350$23.2K
    992146,36212,890140$80$21K
    25447114020$580$15.6K
    64721899030$420$15.4K
    2648083020$580$14.4K
    14040233020$550$14.3K
    1574011030$530$14.2K
    26055339030$290$13.3K
    1573611010$930$11.1K

    Showing 1–10 of 33

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…10$60$750

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Virginia median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…3,8784,010290$50$199.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rockbridge Area Community Services BoardVACommunity/Behavioral Health Agency$0$25.3M
    Lewis Gale Physicians LLCVAInternal Medicine Physician$0$20.6M
    Deepak DeshmukhVAVascular Surgery Physician$1.4M$0
    William TierneyVAVascular Surgery Physician$530.8K$0
    William JonesVAUrology Physician$468.4K$0
    Lynellen GregoryTNVascular Surgery Physician$415.1K$0
    Richard KonstanceVAInterventional Cardiology Physician$413.1K$0
    Quasir RazaVAInternal Medicine Physician$409K$0
    Laurie MoyerVAPhysician Assistant$372.1K$0
    Vandana KarriVAHematology & Oncology Physician$360.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lewis-gale Medical Center, LLCVAGeneral Acute Care Hospital$0$51.8M
    Virginia Baptist Children's Home & Family ServicesVAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$43.8M
    Innovative Community Solutions, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$21.3M
    Lake Spring Emergency Group, LLCVAEmergency Medicine Physician$0$11.3M
    Phc Of Virginia, LLCVASubstance Abuse Rehabilitation Facility$0$10.6M
    Roanoke Valley Center For Sight LLCVAAmbulatory Surgical Clinic/Center$8.4M$1.7M
    Care Advantage, Inc.VAHome Health Agency$0$8.4M
    Springhealth Behavioral Health And Integrated Care Virginia, LLCVACommunity/Behavioral Health Agency$0$8M
    Kimberly AderholdVAHematology & Oncology Physician$1.8M$0
    Roanoke Surgery Center, LPVAAmbulatory Surgical Clinic/Center$1.3M$122.8K

    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. Virginia Distribution
    Micah Jones — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Micah Jones — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia