Medicare Enrolled
Dr. Anthony Jones, MD
Family Medicine · Oakland, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Speaking/Promotional
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Jones from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Jones
Dr. Anthony Jones is a family medicine specialist in Oakland, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Jones performed 6,899 Medicare services across 1,542 unique beneficiaries.
Between the years covered by Open Payments, Dr. Jones received a total of $385,853 from 40 pharmaceutical and/or device companies across 1601 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Jones is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 2% volume in CA
$385,853 industry payments
Medicare Practice Summary
Medicare Utilization ↗6,899
Medicare services
Top 2% in CA for family medicine
1,542
Unique beneficiaries
$53
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~363 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Additional chronic care management time, 60 minutes This service covers an additional 60 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions, billed per calendar month. |
1,501 | $45 | $95 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
940 | $86 | $198 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
916 | $27 | $150 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
730 | $27 | $118 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
521 | $108 | $206 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
433 | $52 | $82 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
350 | $75 | $160 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
310 | $53 | $125 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
282 | $32 | $60 |
| Behavioral health care management, 20+ minutes This service involves clinical staff time directed by a healthcare professional to manage behavioral health conditions. It requires at least 20 minutes of dedicated clinical staff time. |
248 | $26 | $70 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
228 | $30 | $100 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
72 | $156 | $300 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
59 | $67 | $140 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
58 | $37 | $75 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
43 | $73 | $76 |
| Additional 30 minutes of principal care management This service covers each additional 30 minutes of clinical staff time directed by a healthcare professional for managing a single high-risk disease, billed per calendar month. |
41 | $31 | $65 |
| Principal care management for high-risk disease, first 30 minutes This service covers the initial 30 minutes of clinical staff time per calendar month to manage a single high-risk disease. It is directed by a healthcare professional. |
35 | $44 | $100 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
27 | $14 | $39 |
| Quadrivalent influenza vaccine, preservative-free A flu shot containing four strains of the influenza virus, formulated without preservatives, administered in a 0.5 ml dose. |
18 | $22 | $100 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
16 | $158 | $325 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
14 | $12 | $65 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
12 | $101 | $310 |
| Annual alcohol misuse screening, 5 to 15 minutes | 12 | $24 | $35 |
| Pneumococcal vaccine, 23-valent A vaccine that protects against 23 types of pneumococcal bacteria. It is used to prevent infections caused by these bacteria. |
11 | $131 | $160 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
11 | $37 | $44 |
| Annual depression screening | 11 | $24 | $34 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$385,853
Total received (2018-2024)
Avg $55,122/year across 7 years
Top 0% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
40
Companies
1,601
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$360,559 (93.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$15,500 (4.0%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$9,794 (2.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$74,959
2023
$37,090
2022
$36,054
2021
$21,852
2020
$37,360
2019
$110,046
2018
$68,492
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Gilead Sciences, Inc.
$38,431
ViiV Healthcare Company
$34,504
Theratechnologies Inc.
$467
Novo Nordisk Inc
$312
EMD Serono, Inc.
$272
Napo Pharmaceuticals Inc
$213
Bayer Healthcare Pharmaceuticals Inc.
$153
PFIZER INC.
$103
AstraZeneca Pharmaceuticals LP
$99
Boehringer Ingelheim Pharmaceuticals, Inc.
$77
Merck Sharp & Dohme LLC
$74
GlaxoSmithKline, LLC.
$69
Verity Pharmaceuticals Inc.
$64
Astellas Pharma US Inc
$41
Hologic Sales and Service, LLC
$29
ABBVIE INC.
$27
Exact Sciences Corporation
$23
Top 3 companies account for 97.9% of 2024 payments
All-time payments by company (2018-2024) ›
Gilead Sciences, Inc.
$224,823
ViiV Healthcare Company
$102,298
EMD Serono, Inc.
$22,486
Janssen Products, LP
$21,193
Theratechnologies Inc.
$4,666
Janssen Biotech, Inc.
$1,632
Novo Nordisk Inc
$1,227
GlaxoSmithKline, LLC.
$1,187
Merck Sharp & Dohme Corporation
$869
PFIZER INC.
$775
Merck Sharp & Dohme LLC
$530
AbbVie Inc.
$504
Napo Pharmaceuticals Inc
$484
ABBVIE INC.
$370
AstraZeneca Pharmaceuticals LP
$303
Bayer Healthcare Pharmaceuticals Inc.
$279
Boehringer Ingelheim Pharmaceuticals, Inc.
$254
AbbVie, Inc.
$208
Janssen Pharmaceuticals, Inc
$203
Janssen Scientific Affairs, LLC
$196
E.R. Squibb & Sons, L.L.C.
$175
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$159
Lilly USA, LLC
$153
SANOFI-AVENTIS U.S. LLC
$136
Currax Pharmaceuticals LLC
$83
Takeda Pharmaceuticals U.S.A., Inc.
$81
Exact Sciences Corporation
$79
Verity Pharmaceuticals Inc.
$64
Aytu BioScience, Inc
$62
Bayer HealthCare Pharmaceuticals Inc.
$59
Acerus Pharmaceuticals Corporation
$53
Hologic, LLC
$46
Amarin Pharma Inc.
$43
Astellas Pharma US Inc
$41
Oxford Immunotec USA Inc
$30
Hologic Sales and Service, LLC
$29
Biohaven Pharmaceuticals, Inc.
$25
Almatica Pharma LLC
$19
Biohaven Pharmaceutical Holding Company Ltd.
$17
Allergan Inc.
$11
Top 3 companies account for 90.6% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · APRETUDE · APTIMA · AREXVY · BASAGLAR · BELSOMRA · BREZTRI · Biktarvy · CABENUVA · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · CONTRAVE · CREON · Cologuard Collection Kit · Creon · DOVATO · Descovy · EGRIFTA · EGRIFTA SV · ELIQUIS · EMBEDA · Epclusa · FARXIGA · FLUMIST · HUMALOG · INVOKANA · ISENTRESS · JANUVIA · JARDIANCE · JULUCA · Kerendia · LINZESS · LOREEV XR · LYRICA · MAVYRET · Mavyret · Mytesi · NEXPLANON · NURTEC ODT · Natesto · Ozempic · PAXLOVID · PIFELTRO · PREMARIN · PREVNAR 13 · PREVNAR 20 · PREZCOBIX · PREZISTA · REYVOW · RUKOBIA · RYBELSUS · Rybelsus · SEROSTIM · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · SYMPHONY · SYMTUZA · Saxenda · Serostim · Symtuza · THINPREP 2000 PROCESSOR · TIVICAY · TOUJEO · TRIUMEQ · TROGARZO · TSPOT TB TEST · Tlando · Tresiba · Trintellix · Truvada · UBRELVY · Uloric · VIBERZI · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
The majority of payments (93%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in family medicine and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 0% for family medicine in CA.
Geographic Context
Family medicine physicians within 10 mi
1,623
Per 100K population
98.2
County median income
$126,240
Nearest hospital
ALTA BATES SUMMIT MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Jones is a clinical cardiology specialist, with above-average Medicare volume (top 2% in CA), with speaking/promotional industry engagement in the top 0% of CA peers, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Jones experienced with additional chronic care management time, 60 minutes?
Based on Medicare claims data, Dr. Jones performed 1,501 additional chronic care management time, 60 minutes services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Jones receive payments from pharmaceutical companies?
Yes. Dr. Jones received a total of $385,853 from 40 companies across 1,601 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Jones's costs compare to other family medicine physicians in Oakland?
Dr. Jones's average Medicare payment per service is $53. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Jones) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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