Physician

Robert Benjamin Jones, M.D.

According to 2025 Medicare claims, Robert Jones, M.D. (NPI: 1093957565) practices orthopedic surgery in the Springfield, MO market, with the plurality of this provider's patient population coming from Greene, MO. This provider's primary affiliated billing organization is MERCY CLINIC SPRINGFIELD COMMUNITIES (NPI: 1245277631; TIN: 431560263) and primary practice location at 65721-8807. Jones is affiliated with the Mercy Health ACO, LLC (ACO ID: A2616), participating under the MSSP model.

Jones' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 857 traditional Medicare patients, billed 2,348 HCPCS/CPT codes, and received $358,766 in Medicare payments. The top billing code was 27447 (Replacement of knee joint, both sides of knee). Part D data shows 3,433 prescription claims across 903 beneficiaries totaling $41,036 in drug costs, led by Eliquis (Apixaban). DME data shows 188 claims. Open Payments data shows 68 records totaling $75,238. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $54,142 to $358,766. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $6,402 and ending at $41,036. For DME billing, reported payments moved sharply higher in recent years, from $1,384 to $12,175.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$179K$359K2015 Medicare payment: $54,142 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $177,807 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $253,083 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $275,347 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $268,946 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $213,450 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $254,466 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $299,332 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $289,992 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $358,766 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015107367$54,142
20163352,762$177,807
20174351,870$253,083
20185192,160$275,347
20195732,260$268,946
20204751,341$213,450
20215031,506$254,466
20226191,560$299,332
20238081,676$289,992
20248572,348$358,766

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$22K$44K2015 Drug cost: $6,402 (USD; Tot_Drug_Cst)2016 Drug cost: $25,253 (USD; Tot_Drug_Cst)2017 Drug cost: $31,108 (USD; Tot_Drug_Cst)2018 Drug cost: $43,629 (USD; Tot_Drug_Cst)2019 Drug cost: $30,392 (USD; Tot_Drug_Cst)2020 Drug cost: $28,187 (USD; Tot_Drug_Cst)2021 Drug cost: $22,944 (USD; Tot_Drug_Cst)2022 Drug cost: $13,697 (USD; Tot_Drug_Cst)2023 Drug cost: $28,091 (USD; Tot_Drug_Cst)2024 Drug cost: $41,036 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201592249$6,402
2016252984$25,253
20173081,320$31,108
20183331,281$43,629
20193481,343$30,392
20203591,341$28,187
20214541,391$22,944
20225471,488$13,697
20236782,075$28,091
20249033,433$41,036

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$4.5K$9.0K2016 Medicare payment: $1,240 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $1,776 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $2,035 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $2,291 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $3,892 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $3,345 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $5,340 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $9,022 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $8,500 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
20162323$1,240
20173971$1,776
20184545$2,035
20194343$2,291
20205858$3,892
20215374$3,345
202268113$5,340
202383151$9,022
2024118188$8,500

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
27447Replacement of knee joint, both sides of knee207223$943
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more103108$85
73564X-ray of knee, 4 or more views288301$25
73562X-ray of knee, 3 views429547$20
72170X-ray of pelvis, 1-2 views264368$14

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban32735$14,150
Oxycodone HclOxycodone Hcl9536,725$6,174
Tranexamic AcidTranexamic Acid281842$4,350
Tramadol HclTramadol Hcl9636,784$2,388
CelecoxibCelecoxib1883,104$2,206

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0143Walker, folding, wheeled, adjustable or fixed heightN107107$6,378
A4604Tubing with integrated heating element for use with positive airway pressure deviceNN/R20$760
A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strapNN/R14$729
A7035Headgear used with positive airway pressure deviceN1116$305
A7038Filter, disposable, used with positive airway pressure deviceNN/R20$188

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.55$61,042Medical Device Business Services, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.13$14,195Medical Device Business Services, Inc.
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Robert Benjamin Jones, M.D.?

Tedicare shows public-source Medicare data for Robert Benjamin Jones, M.D. (NPI 1093957565), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Robert Benjamin Jones, M.D. have ACO affiliation data?

Robert Benjamin Jones, M.D. is shown with ACO affiliation data for Mercy Health ACO, LLC (MSSP, ACO ID A2616).

What billing organization is linked to Robert Benjamin Jones, M.D.?

Robert Benjamin Jones, M.D. is linked to MERCY CLINIC SPRINGFIELD COMMUNITIES (billing NPI 1245277631) in the available physician profile data.

Does Robert Benjamin Jones, M.D. have Open Payments data?

Robert Benjamin Jones, M.D. has 68 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.