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    OpenPayerNPI Medicare & MedicaidBrenda Jones
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    Brenda Jones — Billing Profile & Reimbursement Data

    NPI 1588663645 · Mesquite, NV · Ophthalmology Physician

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    Brenda Jones is a ophthalmology physician provider located in Mesquite, Nevada. This profile covers 10 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
    OrganizationBrenda Jones
    Address330 N Sandhill Blvd Ste A
    CityMesquite
    StateNV
    ZIP89027
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 20, 2005

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

    Payer SourceTotal Paid
    Medicare$79.5K
    Medicaid$870

    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.

    10 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…500$80$39.8K
    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…160$100$15.7K
    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…180$60$10.6K
    99212The 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,…140$40$5.7K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.130$30$3.3K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…50$40$2.2K
    99426Clinical staff members, directed by a physician or other qualified healthcare professional, perform management and care plan services for a patient with a complex chronic condition, expected to last…20$40$700
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…30$20$620
    99203The 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…10$40$480
    67820The provider removes deviated or abnormal eyelashes, a condition known as trichiasis. He uses forceps to extract the unwanted lashes that cause eye irritation.30$20$450

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144513,610110$80$19K
    992139233,50080$60$10K
    921346019070$30$9.1K
    99204982,01030$110$5.8K
    920838117050$40$5.1K
    992031,3221,38030$70$3.8K
    9225013720040$30$2.9K
    9942661050$50$2.7K
    992126776030$40$2.6K
    6782052020$10$450

    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
    V2020Frames, purchases10$70$880

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Nevada median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    V2020Frames, purchases311320360$30$53.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sharon RichensUTOphthalmology Physician$838.5K$0
    Akbar ShakoorUTOphthalmology Physician$702.4K$0
    Eric HansenWAOphthalmology Physician$517.4K$0
    Joshua TerryNVOptometrist$221.1K$0
    Rachael JacobyUTOphthalmology Physician$137K$0
    Kristin TarbetWAPlastic and Reconstructive Surgery Physician$131.3K$0
    Shawno MayUTOphthalmology Physician$126K$0
    Reed GibbUTOptometrist$80.5K$1.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mmc Of Nevada LLCNVCritical Access Hospital$0$2.6M
    Valley Pediatric DentalNVPediatric Dentistry$0$1.3M
    Robert HillsteadNVOptometrist$31.3K$1.2M
    City Of MesquiteNVAmbulance$408.3K$614.2K
    Todd ParryNVOrthopaedic Surgery Physician$212.4K$0
    Smiths Food & Drug Centers IncNVCommunity/Retail Pharmacy$205.7K$0
    Walmart Inc.NVCommunity/Retail Pharmacy$154.9K$0
    Landon CameronNVPodiatrist$117.4K$290
    Tawni YardleyNVAdult Health Nurse Practitioner$112.8K$0
    Walgreen CoNVPharmacy$102.9K$0

    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. Nevada Distribution
    Brenda Jones — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada
    Medicaid Revenue by Year vs. Nevada Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Brenda Jones — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada