PROVIDER PROFILE · NPI 1164589164

Michael JonesM.D.

PRACTICEJFJ EYECARE, LTDSee all providers at this practice →

OphthalmologyCookeville, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,635

Unique beneficiaries

—

Total services

6,668

Distinct HCPCS

Medicare payment

$437K

Peer benchmark

Total Medicare services vs. 326 Ophthalmology providers in TN — top quintile (cohort median 2,504).

PRESCRIBING · PART D · 2024

Total Rx claims

2,046

Beneficiaries

—

Total drug cost

$197K

Distinct drugs

Brand share

17.7%

Top prescribed drugs

Prednisolone Acetate421 claims

Ketorolac Tromethamine365 claims

Ofloxacin333 claims

Latanoprost294 claims

Cyclosporine116 claims

QUALITY · MIPS · 2024

Final MIPS score

82.6

Quality

98.5

Cost

43.9

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.32%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$4K

Payment records

By payment type

Consulting Fee$3K

Food and Beverage$962

Travel and Lodging$57

REFERRAL NETWORK

Where Michael Jones's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 19 inbound referrers · 48 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F	75	206
NPI 1134105018	66	160
ANDERSON HOSPITAL	55	114
Eye Surgery Center Of Maryville Llc Ambulatory Surgical Center · Maryville, IL	42	84
ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE	40	153
HELLMAN, ROBERT	36	90
GRANITE CITY ILLINOIS HOSPITAL COMPANY LLC	29	53
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Maryland Heights, MO	25	50
Kevin Hutcheson Certified Registered Nurse Anesthetist (CRNA) · Saint Louis, MO	17	34
Matthew Bruening Certified Registered Nurse Anesthetist (CRNA) · Belleville, IL	16	32
HSHS HOLY FAMILY HOSPITAL INC	15	28
ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE	14	34

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Eye Surgery Center, Llc Ambulatory Surgical Center · Belleville, IL	203	757
Eye Surgery Center Of Maryville Llc Ambulatory Surgical Center · Maryville, IL	160	464
Nancy Ganschinietz Certified Registered Nurse Anesthetist (CRNA) · Saint Louis, MO	94	264
ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F	93	285
Labone Llc Clinical Laboratory · Lenexa, KS	90	167
Timothy O'connor Certified Registered Nurse Anesthetist (CRNA) · Granite City, IL	79	222
ANDERSON HOSPITAL	65	132
HSHS MEDICAL GROUP INC	61	125
Edwardsville Ambulatory Surgery Center Llc Ambulatory Surgical Center · Glen Carbon, IL	58	141
Matthew Bruening Certified Registered Nurse Anesthetist (CRNA) · Belleville, IL	56	134
ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE	55	259
PROTESTANT MEMORIAL MEDICAL CENTER, INC.	51	125

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history