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NPI 1548322688 · Apple Valley, CA · Otolaryngology Physician
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Kathleen Jones is a otolaryngology physician provider located in Apple Valley, California. This profile covers 6 Medicare and 5 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 | Kathleen Jones |
| Address | 18092 Wika Rd |
| City | Apple Valley |
| State | CA |
| ZIP | 92307 |
| Taxonomy | Otolaryngology Physician |
| NPI Enumerated | December 14, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $432.6K |
| Medicare | $61.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99203 | The provider sees a new 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 provider… | 300 | $80 | $24.2K |
| 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… | 280 | $70 | $18.8K |
| 69210 | The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal. | 200 | $40 | $7.1K |
| 30901 | The provider uses a simple or limited approach to stop a nosebleed caused by a vessel in the front area of the nose. | 50 | $150 | $6.8K |
| 92567 | In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss. | 240 | $10 | $3.1K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 20 | $50 | $1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99203 | The provider sees a new 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 provider… | 4,790 | $60 | $282.4K |
| 92567 | In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss. | 4,250 | $20 | $97.7K |
| 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… | 2,140 | $20 | $49.1K |
| 69210 | The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal. | 220 | $20 | $4.7K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 10 | $170 | $2.2K |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 4,874 | 14,520 | 760 | $10 | $122.8K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 50 | 60 | 50 | $320 | $90.8K |
| 99203 | The provider sees a new 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 provider… | 250 | 5,590 | 180 | $50 | $62.4K |
| 92567 | In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss. | 25 | 250 | 270 | $20 | $27.1K |
| 69210 | The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal. | 130 | 380 | 110 | $20 | $15.5K |
Other providers in the same ZIP code as Kathleen Jones, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| St. Mary Medical Center | CA | General Acute Care Hospital | $0 | $52.3M |
| High Desert Limb Salvage Institute Podiatrist Corp | CA | Podiatric Clinic/Center | $0 | $39.8M |
| Mukeshchandra Patel | CA | Specialist | $946.1K | $1.6M |
| Rizwan Nurani | CA | Radiation Oncology Physician | $2.4M | $0 |
| Thomas Hoffmann | CA | MOHS-Micrographic Surgery Physician | $1M | $0 |
| Vijay Arora | CA | Obstetrics & Gynecology Physician | $130.3K | $664.8K |
| Diraj Karnani | CA | Rheumatology Physician | $680.6K | $0 |
| Rama Pathi | CA | Sports Medicine (Orthopaedic Surgery) Physician | $151.3K | $514.6K |
| Shahid Latif | CA | Radiation Oncology Physician | $624.7K | $0 |
| Pedram Ilbeigi | CA | Urology Physician | $545.9K | $0 |
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