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    OpenPayerNPI Medicare & MedicaidBenjamin Jones
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    Benjamin Jones — Billing Profile & Reimbursement Data

    NPI 1508250432 · Yakima, WA · Dermatology Physician

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    Benjamin Jones is a dermatology physician provider located in Yakima, Washington. This profile covers 39 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
    OrganizationBenjamin Jones
    Address3911 Castlevale Rd
    CityYakima
    StateWA
    ZIP98902
    TaxonomyDermatology Physician
    NPI EnumeratedMarch 28, 2015

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

    Payer SourceTotal Paid
    Medicare$582.9K
    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.

    39 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…260$480$122.1K
    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…900$60$57.3K
    17312Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.120$340$40.3K
    96574This code is used to report removal of hyperkeratotic (hardened, dry, scaly) skin lesions that appear precancerous followed by photodynamic therapy that exposes a lesion treated with a…130$230$29.3K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…140$200$27.6K
    J7308Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)90$300$27.4K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.100$260$26.4K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.580$40$24.3K
    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…270$90$23.9K
    17313Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.40$500$21K

    Showing 1–10 of 39

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    39 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    173113070240$440$131.7K
    173122960110$320$47.2K
    17313266040$450$22.3K
    14041224020$670$20.2K
    13132167070$200$18.1K
    14060356020$540$16.2K
    J730843040$300$14.5K
    992141,94010,860100$80$13.6K
    J73459207,000$1$10.8K
    1312168040$220$10.6K

    Showing 1–10 of 39

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kittitas County Public Hospital Dist 1WACritical Access Hospital$0$39.1M
    Kittitas County Public Hospital Dist 1WARural Health Clinic/Center$0$19.5M
    Kittitas County Public Hospital Dist 1WARural Health Clinic/Center$0$4.5M
    Betty Hinderks DavisAZMOHS-Micrographic Surgery Physician$1.2M$0
    Jason MussmanAZPlastic and Reconstructive Surgery Physician$1.1M$0
    Naeem ChavlaWAUrology Physician$389.6K$0
    Jeffrey VantrobaWAMedical Physician Assistant$362K$0
    Jennifer MartinWAPhysician Assistant$269.4K$0
    Michael HinckleyUTDermatology Physician$249.9K$0
    Kirk EcklundWAMOHS-Micrographic Surgery Physician$215.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yakima Valley Memorial Hospital AssociationWAGeneral Acute Care Hospital$0$103.5M
    Total Care, Inc.WAHome Health Agency$0$34.3M
    Community Health Of Central WashingtonWAFederally Qualified Health Center (FQHC)$0$25.9M
    Yakima Valley Memorial PhysiciansWAGeneral Acute Care Hospital$0$24.9M
    Comprehensive HealthcareWACommunity/Behavioral Health Agency$0$22.9M
    Planned Parenthood Of Greater Washington & North IdahoWAMulti-Specialty Clinic/Center$0$17.8M
    American Medical Response Ambulance Service IncWAAmbulance$1.6M$10.6M
    Howards Medical LLCWADurable Medical Equipment & Medical Supplies$0$7.2M
    Shc Medical Center - YakimaWAGeneral Acute Care Hospital$0$6.9M
    Yakima Valley Memorial Hospital AssociationWAPharmacy$0$6.2M

    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. Washington Distribution
    Benjamin Jones — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington