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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Jeffrey Jones
๐Ÿ“ก
MDIndividual

Jeffrey Jones, MD

NPI: 1518062413
Wilson, NC
10 years of data
Interventional Radiology
$5.2M
Total Payments
143.3K
Beneficiaries
155.4K
Services
5.41x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$5.2M
Specialty median$146.5K

๐Ÿ“‹ Key Findings

1Billed $5.2M over 10 years
25.41x markup ratio (above median)
399th percentile in Interventional Radiology by payments
462 services/day โ€” unusually high
5Payments surged 70% in 2021
619 procedures with >3x markup

This provider averages 62 services per working day

Based on 155.4K total services over 10 years (250 working days/year). Learn about impossible service volumes โ†’

๐Ÿ”Ž Data Analysis

This provider's $5.2M in total Medicare payments ranks in the 99th percentile of Interventional Radiology providers nationally.

Their average markup ratio of 5.41x is significantly above the specialty median of 5.1x.

Averaging 62 services per working day raises questions about billing patterns.

Medicare payments to this provider grew 80% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 70% in 2021

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$181.30$35.775.07x$145.53$385.8K16.0K14.6K
2015$191.74$37.085.17x$154.66$428.4K17.5K16.0K
2016$191.49$36.245.28x$155.25$433.7K17.8K16.3K
2017$196.91$35.385.57x$161.53$508.7K19.4K17.6K
2018$177.58$32.905.40x$144.68$449.0K17.1K15.8K
2019$205.55$36.905.57x$168.65$409.7K14.7K13.6K
2020$209.35$37.345.61x$172.01$354.8K12.6K11.3K
2021$367.47$65.065.65x$302.41$604.3K15.7K14.4K
2022$502.15$83.126.04x$419.03$917.5K13.3K12.7K
2023$433.85$79.735.44x$354.12$693.6K11.3K10.9K

Top Procedures (20)

74177CT scan of abdomen and pelvis with contrastโš  5.5x markup
$498.7K
6.4K services$77.91/svc5.49x markup
70450CT scan head or brainโš  6.4x markup
$410.8K
13.0K services$31.71/svc6.36x markup
74176CT scan of abdomen and pelvisโš  5.3x markup
$367.1K
5.1K services$71.39/svc5.35x markup
71250CT scan chestโš  8.3x markup
$315.8K
4.5K services$70.13/svc8.30x markup
71260CT scan chest with contrastโš  6.7x markup
$237.2K
5.0K services$47.15/svc6.66x markup
77063Screening digital tomography of both breasts
$183.1K
6.3K services$29.05/svc1.26x markup
74178CT scan of abdomen and pelvis before and after contrastโš  6.3x markup
$163.4K
980 services$166.77/svc6.33x markup
G0202Screening mammography, producing direct digital image, bilateral, all viewsโš  3.2x markup
$155.2K
4.5K services$34.26/svc3.18x markup
72125CT scan of upper spineโš  6.4x markup
$142.6K
3.4K services$41.99/svc6.37x markup
78815Nuclear medicine study with CT imaging skull base to mid-thighโš  3.6x markup
$139.9K
970 services$144.26/svc3.64x markup
77067Mammography of both breastsโš  3.2x markup
$130.4K
3.6K services$36.68/svc3.16x markup
71275CT scan of blood vessels in chest with contrastโš  6.1x markup
$98.2K
1.1K services$90.20/svc6.14x markup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neckโš  3.4x markup
$98.1K
1.9K services$52.62/svc3.35x markup
71010X-ray of chest, 1 view, frontโš  5.2x markup
$84.4K
12.6K services$6.71/svc5.21x markup
70551MRI scan brainโš  6.2x markup
$84.4K
1.5K services$55.06/svc6.19x markup
71045X-ray of chest, 1 viewโš  5.5x markup
$82.2K
12.3K services$6.67/svc5.45x markup
70498CT scan of neck blood vessels with contrastโš  6.6x markup
$78.7K
882 services$89.23/svc6.62x markup
70553MRI scan of brain before and after contrastโš  5.2x markup
$74.9K
853 services$87.81/svc5.23x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuversโš  3.8x markup
$70.0K
1.7K services$40.38/svc3.75x markup
36556Insertion of central venous catheter for infusion, patient 5 years or olderโš  7.2x markup
$65.7K
828 services$79.33/svc7.19x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
74177CT scan of abdomen and pelvis with contrast6.4K$498.7K$77.915.49x
70450CT scan head or brain13.0K$410.8K$31.716.36x
74176CT scan of abdomen and pelvis5.1K$367.1K$71.395.35x
71250CT scan chest4.5K$315.8K$70.138.30x
71260CT scan chest with contrast5.0K$237.2K$47.156.66x
77063Screening digital tomography of both breasts6.3K$183.1K$29.051.26x
74178CT scan of abdomen and pelvis before and after contrast980$163.4K$166.776.33x
G0202Screening mammography, producing direct digital image, bilateral, all views4.5K$155.2K$34.263.18x
72125CT scan of upper spine3.4K$142.6K$41.996.37x
78815Nuclear medicine study with CT imaging skull base to mid-thigh970$139.9K$144.263.64x
77067Mammography of both breasts3.6K$130.4K$36.683.16x
71275CT scan of blood vessels in chest with contrast1.1K$98.2K$90.206.14x
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck1.9K$98.1K$52.623.35x
71010X-ray of chest, 1 view, front12.6K$84.4K$6.715.21x
70551MRI scan brain1.5K$84.4K$55.066.19x
71045X-ray of chest, 1 view12.3K$82.2K$6.675.45x
70498CT scan of neck blood vessels with contrast882$78.7K$89.236.62x
70553MRI scan of brain before and after contrast853$74.9K$87.815.23x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers1.7K$70.0K$40.383.75x
36556Insertion of central venous catheter for infusion, patient 5 years or older828$65.7K$79.337.19x

Markup Analysis

Charge-to-Payment Ratio

5.41x

This provider submits charges 5.41 times higher than what Medicare actually pays.

What This Means

A markup ratio of 5.41x means for every $100 Medicare pays, this provider initially charges $541. This is higher than the national average.

Location

Wilson, NC

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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