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NPI 1720323249 · London, KY · Foot & Ankle Surgery Podiatrist
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Heather Jones is a foot & ankle surgery podiatrist provider located in London, Kentucky. This profile covers 19 Medicare and 11 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 | Heather Jones |
| Address | 1105 W 5th St |
| City | London |
| State | KY |
| ZIP | 40741 |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| NPI Enumerated | December 10, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $104.9K |
| Medicare | $62.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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… | 240 | $60 | $14.5K |
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 80 | $90 | $7.6K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 230 | $30 | $7.1K |
| 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… | 90 | $80 | $7K |
| 99214 | The 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… | 60 | $90 | $5.3K |
| 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,… | 120 | $40 | $4.6K |
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 60 | $50 | $2.7K |
| 99204 | The 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… | 20 | $110 | $2.5K |
| 11750 | The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete. | 30 | $90 | $2.4K |
| 20550 | Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation. | 30 | $50 | $1.5K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 4,833 | 7,230 | 110 | $70 | $14.1K |
| 11721 | 86 | 160 | 260 | $30 | $13K |
| 11042 | 84 | 170 | 80 | $60 | $8.6K |
| 17110 | 246 | 260 | 100 | $60 | $8.4K |
| 11056 | 52 | 80 | 90 | $50 | $8.4K |
| 99213 | 1,218 | 7,250 | 80 | $50 | $7.7K |
| G0127 | 20 | 30 | 100 | $10 | $4.8K |
| 99204 | 2,031 | 3,200 | 30 | $100 | $4.8K |
| 11720 | 56 | 90 | 80 | $20 | $4.6K |
| 99203 | 260 | 2,380 | 30 | $70 | $2.9K |
Showing 1–10 of 19
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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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… | 790 | $30 | $26.8K |
| 99214 | The 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… | 430 | $60 | $23.8K |
| 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… | 310 | $70 | $21.4K |
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 100 | $180 | $17.5K |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 250 | $20 | $4.7K |
| L3040 | Foot, arch support, removable, premolded, longitudinal, each | 110 | $30 | $3.4K |
| 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,… | 120 | $20 | $3K |
| 99204 | The 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… | 30 | $100 | $2.8K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 70 | $20 | $1.2K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 60 | $1 | $60 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
11 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… | 1,815 | 3,340 | 1,020 | $30 | $296K |
| 99214 | The 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… | 1,356 | 2,460 | 580 | $40 | $245K |
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 10 | 10 | 130 | $150 | $112.7K |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 175 | 250 | 1,080 | $40 | $82.9K |
| 99204 | The 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… | 810 | 1,020 | 120 | $70 | $62K |
| 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,… | 930 | 1,450 | 270 | $30 | $61K |
| 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… | 457 | 1,400 | 130 | $50 | $45.8K |
| L3040 | Foot, arch support, removable, premolded, longitudinal, each | 3 | 10 | 1,050 | $30 | $23.2K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 82 | 100 | 600 | $10 | $21.6K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 367 | 470 | 310 | $1 | $5.6K |
Showing 1–10 of 11
Other providers in the same ZIP code as Heather Jones, ranked by combined Medicare and Medicaid revenue.
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