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    OpenPayerNPI Medicare & MedicaidGrenville Jones
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    Grenville Jones — Billing Profile & Reimbursement Data

    NPI 1710082672 · Augusta, ME · Therapeutic Radiology Physician

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    Grenville Jones is a therapeutic radiology physician provider located in Augusta, Maine. This profile covers 41 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
    OrganizationGrenville Jones
    Address361 Old Belgrade Rd
    CityAugusta
    StateME
    ZIP04330
    TaxonomyTherapeutic Radiology Physician
    NPI EnumeratedSeptember 14, 2006

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

    Payer SourceTotal Paid
    Medicare$2.8M
    Medicaid$0

    Key Findings

    This provider is a therapeutic radiology physician in Augusta, ME with a long Medicare presence: their NPI was enumerated on 2006-09-14 (≈20 years ago), indicating multi-decade tenure in Medicare billing and likely an established local referral footprint. The lifetime Medicare revenue on file totals $2.8M, and there is no Medicaid billing on file, making this effectively a single-payer (Medicare-only) profile in our dataset.

    Revenue concentration is highly skewed toward a small set of services: the precomputed top 3 Medicare codes by revenue account for 80.7% of this provider’s total Medicare revenue. The single largest line item is A9607, which alone generates $1.8M (65.1% of Medicare revenue), signaling that lutetium-based radiopharmaceutical therapy is the dominant business line.

    The clinical and operational mix implied by the top codes points to a specialization in high-cost radiopharmaceutical and advanced targeted radiation therapies rather than broad outpatient oncology volume. A9607 (Lutetium lu 177 vipivotide tetraxetan) dominates revenue, while G6015, 77301 and several stereotactic/IMRT planning and delivery codes (e.g., 77373, 77301, 77338) indicate concurrent delivery of complex radiation planning and modulation services consistent with an advanced therapeutic-radiology practice.

    Competitive standing by code is mixed but generally “typical” to above-typical: for the revenue-dominant A9607 the provider ranks #17 of 44 (63rd percentile), which is described as typical and unremarkable volume among national peers for that code; G6015 ranks in the 83rd percentile nationally (#240 of 1429), and 77301 ranks in the 93rd percentile (#258 of 3815), indicating relatively higher activity on IMRT delivery and certain advanced delivery techniques. These rank/percentile labels suggest the provider is not an extreme national outlier but does sit above many peers on several advanced-treatment codes.

    There are several indicators of procedural breadth within radiation oncology beyond the dominant radiopharmaceutical: meaningful claim counts and revenue appear for stereotactic body radiation therapy fractions (77373: 166 claims, $116.9K), IMRT planning/delivery (77301, 77338), and simulation/planning codes (77290, 77293). This pattern suggests the practice both administers radiopharmaceutical treatment courses and supports complex external-beam modalities and planning infrastructure rather than only a single treatment modality.

    The absence of any Medicaid billing on file is notable: with $2.8M in Medicare lifetime revenue and “none” reported for Medicaid, the provider operates in our dataset as effectively single-payer Medicare-anchored. This limits conclusions about state Medicaid competitiveness or access for non-Medicare patients and suggests payer-mix risk concentrated in Medicare reimbursement patterns.

    While most listed codes are characterized as “typical, unremarkable volume” relative to national peers, a few items show higher relative intensity: 77301 and 77373 each sit in the 93rd percentile nationally, and 77014 is in the 91st percentile, indicating above-typical use of IMRT-related services and simulation/imaging support. Conversely, PET/CT (78815) shows low relative volume (13th percentile), implying this provider relies less on in-house PET/CT imaging compared with many peers.

    Several lower-revenue but specialized codes indicate niche services offered on occasion—examples include 77750 (ranked 3 of 3 nationally for reported providers, labeled typical) and brachytherapy-related placements (57156), suggesting occasional use of radioelement infusion and intracavitary/interstitial procedures alongside the primary lutetium therapy. These sporadic but specialized codes are consistent with a practice that provides complex, targeted radiotherapeutic interventions when clinically indicated.

    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.

    41 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A9607Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie9,000$200$1.8M
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session1,260$250$318K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…90$1,280$120.1K
    77373This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small…170$700$116.9K
    77014N/A1,270$90$110.7K
    G6012Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev300$160$48.4K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…280$140$39.9K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…100$330$32K
    77290Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…70$320$20.7K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…340$60$20.1K

    Showing 1–10 of 41

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    41 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A96071109,000$200$1.8M
    G60151101,260$250$317.5K
    77373110170$700$116.8K
    G6012110300$160$48.4K
    A955281070$400$43.1K
    78815324050$380$27.1K
    77427120180$150$24.6K
    77014120500$40$22.1K
    964132630170$100$20.6K
    77336110340$60$20.1K

    Showing 1–10 of 41

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Scott ColeOKHematology & Oncology Physician$2.3M$0
    Charles TaylorOKHematology & Oncology Physician$2.3M$0
    Mark OlsenOKHematology & Oncology Physician$2.2M$0
    Paul ZitoOKHematology & Oncology Physician$2.2M$0
    Melinda DunlapOKHematology & Oncology Physician$2.1M$0
    Mark JenningsTXInternal Medicine Physician$2.1M$0
    Oklahoma Cancer Specialists And Research Institute LLCOKHematology & Oncology Physician$0$1.7M
    Ali MoussaOKHematology & Oncology Physician$1.6M$0
    Caleb ScheckelOKHematology & Oncology Physician$1.6M$0
    Leslie YonemotoOKRadiation Oncology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mainegeneral Medical CenterMEGeneral Acute Care Hospital$0$168.1M
    Motivational Services IncMEVoluntary or Charitable Agency$0$92.2M
    Employment Specialists Of Maine, Inc.MEMental Illness Community Based Residential Treatment Facility$0$84.2M
    Crisis And Counseling Centers, Inc.MEMental Health Counselor$0$21M
    Gallant Therapy ServicesMEDevelopmentally Disabled Services Day Training Agency$0$20.5M
    Children's Center: Early Intervention And Family Support, Inc.MESpecialist$0$13.6M
    Central Maine Area Agency On AgingMEIn Home Supportive Care Agency$0$13.5M
    Anglez Behavioral Health Services PAMECase Management Agency$0$12.5M
    Kennebec Pharmacy And Home Care LLCMEParenteral & Enteral Nutrition Supplies (DME)$0$11.6M
    Kennebec Home Care LLCMEHome Health Agency$0$9.6M

    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. Maine Distribution
    Grenville Jones — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine