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    OpenPayerNPI Medicare & MedicaidJonathan Clavell Hernandez
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    Jonathan Clavell Hernandez — Billing Profile & Reimbursement Data

    NPI 1619230869 · Houston, TX · Urology Physician

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    Jonathan Clavell Hernandez is a urology physician provider located in Houston, Texas. This profile covers 20 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
    OrganizationJonathan Clavell Hernandez
    Address12727 Kimberley Ln Ste 303
    CityHouston
    StateTX
    ZIP77024
    TaxonomyUrology Physician
    NPI EnumeratedJune 22, 2012

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

    Payer SourceTotal Paid
    Medicare$179.8K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3490Unclassified drugs140$430$60.2K
    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…50$600$32.5K
    54300The provider corrects an abnormal curvature of the penis known as chordee. This deformity commonly occurs in patients with hypospadias. He may also mobilize the urethra during this procedure.50$270$13.6K
    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…210$60$12.6K
    54360The provider surgically repairs the angulation, or abnormal curvature, of the penis of the patient.40$290$11.7K
    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$9.8K
    54410The provider removes all components of a previously placed multicomponent, inflatable penile prosthesis from the penis of a patient, and at the same session replaces it with the same type of penile…10$700$9.1K
    55150In this procedure, the provider excises a damaged or diseased scrotum, the pouch that contains the testes, or testicles, as a result of tissue damage due to trauma, infection, or other condition.40$200$8.1K
    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…70$80$5.5K
    54111The provider excises plaque or abnormal fibrous tissues in the penis and closes the site with a skin graft of up to five centimeters, or cm, in length. The provider performs this procedure to correct…10$370$4.4K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J34904035060$480$54.4K
    9921431,35732,500110$80$17.6K
    5440511020$620$15.4K
    5430011050$270$13.6K
    5200058860060$160$12K
    8440329033040$30$11.8K
    5441011010$700$9.1K
    992136,15729,79070$60$8.4K
    1557421020$360$8.3K
    5515011040$200$8.1K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thanh VanTXRadiation Oncology Physician$2.2M$0
    Robert CornellTXUrology Physician$317.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Jonathan Clavell Hernandez, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Memorial Hermann Hospital Based Physician GroupTXEmergency Medicine Physician$0$27.4M
    Altru Diagnostics, IncTXClinical Medical Laboratory$16.6M$5.1M
    Central Home Health Services Of Texas, LLCTXHome Health Agency$0$16.9M
    Spring Branch IsdTXLocal Education Agency (LEA)$0$12.2M
    Philip BlumTXNeurology Physician$2.5M$0
    Kevin LismanTXCardiovascular Disease Physician$2.1M$0
    Ronjay RakkhitTXHematology & Oncology Physician$1.6M$0
    Hedwig AscTXAmbulatory Surgical Clinic/Center$1.4M$0
    Todd PriceTXSpecialist$1.1M$0
    Greg PearsonTXDermatology Physician$890.6K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Jonathan Clavell Hernandez — 2 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas