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    OpenPayerNPI Medicare & MedicaidJonathan Wilson
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    Jonathan Wilson — Billing Profile & Reimbursement Data

    NPI 1881738532 · Southaven, MS · Optometrist

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    Jonathan Wilson is a optometrist provider located in Southaven, Mississippi. This profile covers 9 Medicare and 8 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
    OrganizationJonathan Wilson
    Address1890 Goodman Rd E Ste 100
    CitySouthaven
    StateMS
    ZIP38671
    TaxonomyOptometrist
    NPI EnumeratedFebruary 16, 2007

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

    Payer SourceTotal Paid
    Medicaid$89.4K
    Medicare$49.7K

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    65778The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.40$830$30.7K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…120$70$8.8K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…70$50$3.8K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.40$70$3K
    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,…40$20$900
    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,…30$30$890
    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…20$40$840
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…20$20$510
    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.10$30$280

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6577841020$900$35.9K
    92014212350170$70$23K
    9201212822090$50$9.9K
    9213427228080$30$7.3K
    9200419433050$90$6.3K
    9208321627050$40$3.4K
    9225016224080$20$3.4K
    9921246896030$30$2.4K
    9213321328050$20$2.2K

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…550$60$33.3K
    V2020Frames, purchases970$20$18.4K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.1,050$10$12.6K
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal830$10$11.6K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.120$70$8.2K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens180$30$4.5K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens70$30$1.9K
    3072FThe provider reports this code, if any previous examination within the last 12 months shows that there is no evidence of retinopathy or low risk of retinopathy. An automated result is not necessary.10$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Mississippi median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…203420510$70$92.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.211350180$90$53.3K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.234500910$20$39.1K
    V2020Frames, purchases193450740$30$37.3K
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal176390740$20$25.9K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens172290310$30$19.1K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens230300270$20$15.2K
    3072FThe provider reports this code, if any previous examination within the last 12 months shows that there is no evidence of retinopathy or low risk of retinopathy. An automated result is not necessary.5050160$1$20

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Memorial Hospital-desoto, Inc,MSGeneral Acute Care Hospital$0$41.6M
    Sidhu Pediatrics, LLCMSPediatrics Physician$0$10.8M
    Desoto Pediatric Extended Care LLCMSPediatric Skilled Nursing Facility$0$8.2M
    Spectra Laboratories IncMSClinical Medical Laboratory$1.8M$6.2M
    Desoto Family Counseling Center PLLCMSCommunity/Behavioral Health Agency$0$5.6M
    Simple Strokestherapy Consultants, PAMSPhysical Therapist$0$5.1M
    John AcostaMSPediatric Dentistry$0$4.7M
    Rcg Southaven, LLCMSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.9M
    Roberts & Garza Orthodontics Services PLLCMSOrthodontics and Dentofacial Orthopedics Dentistry$0$3.4M
    Genesis Healthcare LLCMSHome Health Agency$0$2.9M

    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. Mississippi Distribution
    Jonathan Wilson — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi
    Medicaid Revenue by Year vs. Mississippi Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    Jonathan Wilson — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi