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    OpenPayerNPI Medicare & MedicaidAshley Jones
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    Ashley Jones — Billing Profile & Reimbursement Data

    NPI 1649520206 · Enid, OK · Physician Assistant

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    Ashley Jones is a physician assistant provider located in Enid, Oklahoma. This profile covers 12 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
    OrganizationAshley Jones
    Address900 W Cherokee Ave
    CityEnid
    StateOK
    ZIP73701
    TaxonomyPhysician Assistant
    NPI EnumeratedSeptember 11, 2012

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

    Payer SourceTotal Paid
    Medicare$45.4K
    Medicaid$2K

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…140$130$19K
    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…120$50$6.3K
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…40$150$5.8K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…40$130$5.2K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…80$40$3.2K
    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…50$60$2.9K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.40$20$840
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.20$30$620
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…20$30$510
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.30$20$490

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    27447818030$730$35.2K
    27130319020$700$24.6K
    2347287020$740$16.9K
    992132,0425,45080$50$8.7K
    2061022455060$40$4.7K
    992037231,90030$70$3.5K
    7356419525050$20$1.7K
    7350239748050$20$1.3K
    7303030551050$10$1000
    7356018330040$10$780

    Showing 1–10 of 12

    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
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…50$40$2K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Oklahoma median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…9318050$60$18K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Poplar Bluff Hma Physician Management, LLCMOFamily Medicine Physician$0$9.9M
    Robert DorseyFLSurgery Physician$4.3M$0
    Roland NjohMOCardiovascular Disease Physician$269K$0
    Victor LawrinenkoMOGastroenterology Physician$231.6K$10.3K
    Raghuveer KuraMONephrology Physician$241K$0
    Harikrishnan Damodaran NairKYInterventional Cardiology Physician$234.8K$0
    David WoodMOFamily Medicine Physician$219.6K$0
    Robert HulseOKOrthopaedic Surgery Physician$187.8K$0
    Timothy TeskeOKOrthopaedic Surgery Physician$186.4K$0
    David KellerOKOrthopaedic Surgery Physician$171.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Great Salt Plains Health Center, Inc.OKFederally Qualified Health Center (FQHC)$0$8.4M
    Integris Bass Baptist Health CenterOKGeneral Acute Care Hospital$0$6.4M
    Uhs Of Oklahoma, LLCOKGeneral Acute Care Hospital$0$4.9M
    Life Emergency Medical Service, Inc.OKLand Ambulance$840.9K$1.7M
    Ocean Dental, PCOKDentist$0$2.5M
    Youth And Family Services Of North Central Oklahoma, Inc.OKCommunity/Behavioral Health Agency$0$2M
    Alpha Assessment & CounselingOKPreferred Provider Organization$0$2M
    Sugarcreek DentalOKGeneral Practice Dentistry$0$1.9M
    The Agency At ZoeOKCommunity/Behavioral Health Agency$0$1.8M
    St. Mary's Physician Associates, LLCOKFamily Medicine Physician$0$1.8M

    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. Oklahoma Distribution
    Ashley Jones — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma
    Medicaid Revenue by Year vs. Oklahoma Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oklahoma Distribution
    Ashley Jones — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma