Medicare Enrolled

Dr. Richard Jones, MD

Ophthalmology · Sacramento, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
4925 J STREET, Sacramento, CA 95819
9164528105
In practice since 2006 (19 years)
NPI: 1538186044 verify on NPPES ↗
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. Richard Jones is an ophthalmology specialist in Sacramento, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Jones performed 2,175 Medicare services across 1,743 unique beneficiaries.

Between the years covered by Open Payments, Dr. Jones received a total of $7,594 from 41 pharmaceutical and/or device companies across 185 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. 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 44% volume in CA $7,594 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,175
Medicare services
Top 44% in CA for ophthalmology
1,743
Unique beneficiaries
$107
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~114 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
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.
614 $84 $125
Eye exam, established patient, focused
A limited examination of the visual system for an existing patient. The provider focuses on a specific eye-related concern or symptom.
533 $64 $100
Corneal topography and eye depth measurement
This procedure measures the curvature and depth of the cornea, the clear front surface of the eye.
243 $34 $120
Cataract surgery with lens implant
Surgical removal of the clouded natural lens of the eye and replacement with an artificial prosthetic lens to restore vision.
224 $415 $1,500
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.
150 $116 $185
Optic nerve imaging (OCT scan)
Imaging of the optic nerve.
131 $27 $100
Retinal imaging (OCT scan)
This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye.
105 $32 $100
Retinal photography (fundus photo)
This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures.
85 $29 $105
Laser removal of recurring cataract
A laser procedure to remove a recurring cataract within the lens capsule.
53 $296 $467
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
20 $64 $145
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.
17 $106 $160
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.
10.3% high complexity
10.9% medium
78.9% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$7,594
Total received (2018-2024)
Avg $1,085/year across 7 years
Top 18% in CA for ophthalmology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
41
Companies
185
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.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,444 (98.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$150 (2.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,473
2023
$1,375
2022
$619
2021
$1,012
2020
$556
2019
$1,365
2018
$1,193

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
BIOTISSUE HOLDINGS INC.
$361
Alcon Vision LLC
$296
Mallinckrodt Hospital Products Inc.
$252
Genentech USA, Inc.
$120
Apellis Pharmaceuticals, Inc.
$105
Oyster Point Pharma, Inc.
$90
RxSight Inc
$80
Astellas Pharma US Inc
$26
Harrow Eye, LLC
$25
Glaukos Corporation
$24
Amgen Inc.
$23
Rayner Intraocular Lenses Limited
$21
Thea Pharma Inc.
$20
SUN PHARMACEUTICAL INDUSTRIES INC.
$16
Alimera Sciences, Inc.
$15
Top 3 companies account for 61.7% of 2024 payments
All-time payments by company (2018-2024) ›
Alcon Vision LLC
$1,619
Alcon Laboratories Inc
$805
Aerie Pharmaceuticals, Inc.
$549
Mallinckrodt Hospital Products Inc.
$413
BIOTISSUE HOLDINGS INC.
$361
Sun Pharmaceutical Industries Inc.
$279
Novartis Pharmaceuticals Corporation
$272
Horizon Therapeutics plc
$261
Kala Pharmaceuticals, Inc.
$249
Genentech USA, Inc.
$245
Apellis Pharmaceuticals, Inc.
$225
Allergan, Inc.
$203
ABBVIE INC.
$192
Shire North American Group Inc
$173
Bausch & Lomb, a division of Bausch Health US, LLC
$161
EyePoint Pharmaceuticals US, Inc.
$154
TissueTech, Inc.
$148
Oyster Point Pharma, Inc.
$135
Allergan Inc.
$131
Bausch & Lomb Americas Inc.
$124
RxSight Inc
$101
AbbVie, Inc.
$87
Johnson & Johnson Surgical Vision, Inc.
$75
SUN PHARMACEUTICAL INDUSTRIES INC.
$60
Thea Pharma Inc.
$59
Carl Zeiss Meditec, Inc.
$57
Dompe US, Inc.
$53
ANI Pharmaceuticals, Inc.
$45
Alimera Sciences, Inc.
$45
Eyevance Pharmaceuticals LLC
$41
Glaukos Corporation
$36
Omeros Corporation
$36
Exeltis, USA Inc.
$34
Astellas Pharma US Inc
$26
Harrow Eye, LLC
$25
Amgen Inc.
$23
Rayner Intraocular Lenses Limited
$21
BioTissue Holdings, Inc.
$21
Optos, Inc.
$20
Sight Sciences, Inc.
$17
BIOTISSUE HOLDINGS, INC.
$15
Top 3 companies account for 39.1% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ARGOS · ARTEVO 800 · AcrySof · AcrySof IQ PanOptix · AcrySof IQ PanOptix UV IOL · AcrySof IQ VIVITY · AcrySof IQ VIVITY IOL · BEOVU · BROMSITE · BromSite · BromSite (bromfenac ophthalmic solution) 0.075% · CEQUA · COMBIGAN · Cequa · Clareon · CyPass · DEXYCU · DURYSTA · ENVISTA · Flarex · Humira · ILEVRO · ILUVIEN · INVELTYS · IYUZEH · Izervay · LIGHT ADJUSTABLE LENS (LAL) AND LIGHT DELIVERY DEVICE (LDD) · LUMIGAN · LenSx · MIEBO · OCT OPHTHALMOSCOPE · ORA · OXERVATE · Omidria · PROKERA · PURIFIED CORTROPHIN GEL · Prokera · RESTASIS · RESTASIS MULTIDOSE · RXSIGHT CONTACT LENS · ReSTOR · Rhopressa · Rocklatan · Syfovre · TEARCARE SYSTEM · TEPEZZA · TRAVATAN Z · TYRVAYA · Tecnis IOL · Tecnis Simplicity · VEVYE · VYZULTA · Vabysmo · Verion · XELPROS · XELPROS (latanoprost ophthalmic emulsion) 0.005% · XEN GLAUCOMA TREATMENT SYSTEM · XIIDRA · YUTIQ · iDose · iStent Trabecular Micro-Bypass Stent System · rhopressa · rocklatan
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 →

Most payments (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an ophthalmology specialist in Sacramento?
Compare ophthalmologists in the Sacramento area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Ophthalmologists within 10 mi
144
Per 100K population
9.1
County median income
$88,724
Nearest hospital
MERCY GENERAL HOSPITAL
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 moderate Medicare volume, with low-engagement industry engagement in the top 18% 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 office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Jones performed 614 office visit, established patient (30-39 min) 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 $7,594 from 41 companies across 185 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 ophthalmologists in Sacramento?
Dr. Jones's average Medicare payment per service is $107. 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →