Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidLeroy Jones
    Ask Trek AI about this page

    Leroy Jones — Billing Profile & Reimbursement Data

    NPI 1518947613 · San Antonio, TX · Urology Physician

    Customize your policy alerts

    Sign up for Leroy Jones — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Leroy Jones is a urology physician provider located in San Antonio, Texas. This profile covers 27 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationLeroy Jones
    Address8300 Floyd Curl Dr
    CitySan Antonio
    StateTX
    ZIP78229
    TaxonomyUrology Physician
    NPI EnumeratedJanuary 17, 2006

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

    Payer SourceTotal Paid
    Medicare$424.4K
    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3490Unclassified drugs230$1,190$269.2K
    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…380$90$32.9K
    54405The provider inserts inflatable synthetic material for a multicomponent, inflatable penile prosthesis into the penis of the patient. The provider also places a pump, the cylinders, and a reservoir…40$590$23.1K
    11980The provider inserts hormone pellets subdermally, normally under the patient's arm skin.  These pellets then release levels of synthetic hormones (testosterone and/or estradiol) to treat menopausal…230$60$14.5K
    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…240$60$14.1K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…260$40$10.7K
    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…90$110$9.7K
    84403The lab analyst performs a test to measure total testosterone, typically in patient serum.360$30$9K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…50$170$8.7K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…230$30$7.8K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    87798228300790$30$265.1K
    87481255270150$30$68.8K
    J34902735060$480$54.4K
    8764022125070$30$25.9K
    8765320023070$30$24K
    992145,49832,500110$80$17.6K
    994905751,520180$40$16.2K
    5440521020$620$15.4K
    5200034260060$160$12K
    844032933040$30$11.8K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Las Cruces Physician Services LLCNMOrthopaedic Surgery Physician$0$62.9M
    University Of Texas Health Science Center At San AntonioTXInternal Medicine Physician$0$35.5M
    Richard GarzaTXRadiation Oncology Physician$2.5M$0
    Sean SumsionCAOphthalmology Physician$2.3M$0
    Michael SelvaTXRadiation Oncology Physician$2.1M$0
    Mathew PutziTXAnatomic Pathology & Clinical Pathology Physician$1.4M$0
    Niraj PahlajaniTXRadiation Oncology Physician$1.4M$0
    Jennifer GallagherTXOphthalmology Physician$1.3M$0
    Rohit KapoorTXHematology & Oncology Physician$1.2M$0
    Michael ShriverOHDiagnostic Radiology Physician$1.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bexar County Hospital DistrictTXGeneral Acute Care Hospital$0$91.4M
    A Plus Family Care LLCTXHome Health Agency$0$72.7M
    Methodist Healthcare System Of San Antonio, Ltd., L.L.P.TXGeneral Acute Care Hospital$0$68M
    Casa Linda Homecare, Inc.TXHome Health Agency$0$39.7M
    Axiom Home Health LLCTXHome Health Agency$0$39.2M
    Easter Seal Rehabilitation CenterTXRegistered Dietitian$0$24.2M
    Access Quality Therapy Services, LLCTXHome Health Agency$0$23.4M
    Emergency Medicine Services Of Tx, PLLCTXEmergency Medicine Physician$0$15M
    San Rafael Healthcare, IncTXHome Health Agency$0$13.6M
    Pathology Reference Laboratory, L.L.C.TXClinical Medical Laboratory$1.2M$4.7M

    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. Texas Distribution
    Leroy Jones — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas