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Brenda J Jones, WHNP

Nurse Practitioner · Palo Alto

NPI 1811177280

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Brenda J Jones’s office at (414) 352-3100 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$1,759

Medicare paid this office $1,759 for 25 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Cervical or vaginal cancer screening; pelvic and clinical breast examination12$367$31

Who their Medicare patients are

25 Original Medicare patients in 2024. Average age 71 · Women 100% · Health risk score 0.71. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 48%.

The office billed $8,430, Medicare allowed $2,544 and paid $1,759; for 44 services of 10 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20242544710.71$8,430$1,759
20232742710.87$7,973$1,896
20217087721.64$39,080$7,152
20201818650.98$7,623$1,062
201941406660.76$14,133$3,401
20184290661.38$10,498$2,340
20172469590.75$8,315$1,443
20161623581.07$5,893$933

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 2 services

Original Medicare services billed in 2023
Short return visit (20+ min)12$589$39
Cervical or vaginal cancer screening; pelvic and clinical breast examination12$378$31

2021: 1 service

Original Medicare services billed in 2021
Return visit (30+ min)64$6,060$82

2019: 3 services

Original Medicare services billed in 2019
Short return visit (20+ min)19$1,076$47
Wet mounts, including preparations of vaginal, cervical or skin specimens13$220$15
All potassium hydroxide (koh) preparations13$86$6

2018: 4 services

Original Medicare services billed in 2018
Short return visit (20+ min)25$1,135$42
Cervical or vaginal cancer screening; pelvic and clinical breast examination15$460$31
Wet mounts, including preparations of vaginal, cervical or skin specimens17$244$14
All potassium hydroxide (koh) preparations17$97$6

2017: 3 services

Original Medicare services billed in 2017
Short return visit (20+ min)18$950$38
Wet mounts, including preparations of vaginal, cervical or skin specimens14$103$6
All potassium hydroxide (koh) preparations13$98$6

Medicaid work

$10,084 in 2021

Medicaid paid $10,084 for 245 billed services this clinician did in 2021, up to 27 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2021
Return visit (30+ min)216$8,278
New patient visit (45+ min)29$1,807
Medicaid work by year
2021245227$10,084
202022121$746
2019550525$9,738
2018390424$6,640
See the largest Medicaid services in earlier years

2020

Largest Medicaid services in 2020
Short return visit (20+ min)22$746

2019

Largest Medicaid services in 2019
Short return visit (20+ min)219$6,618
Wet mounts, including preparations of vaginal, cervical or skin specimens152$838
All potassium hydroxide (koh) preparations152$838
Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years15$753
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years12$692

2018

Largest Medicaid services in 2018
Short return visit (20+ min)150$4,725
Wet mounts, including preparations of vaginal, cervical or skin specimens121$680
Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years12$634
All potassium hydroxide (koh) preparations107$600

Drugs they prescribed that Part D paid

$5,292

Pharmacies billed $5,292 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 111) in 2024. At or below the middle of the specialty; the typical nurse practitioner clinician is at 0%.

98 generic and 13 brand-name prescriptions · $5,292 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Estradiol23$1,283$56
Clobetasol Propionate14$520$37

Year by year

Part D prescribing by year
2024111460% (0)12%$5,292
202374350% (0)None$6,664
202217None0% (0)0%$973
20217234NoneNone$2,562
20204116None32%$4,574
2019119480% (0)None$8,703
201862370% (0)None$3,540
201751250% (0)None$1,611
201614None0% (0)None$481
201526120% (0)42%$3,389

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Estradiol17$1,896$112

2021: 2 drugs

Part D drugs prescribed in 2021
Amoxicillin-Clavulanate Potass11$135$12
Sulfamethoxazole-Trimethoprim12$42$4

2020: 2 drugs

Part D drugs prescribed in 2020
Premarin11$2,577$234
Valacyclovir12$496$41

2019: 2 drugs

Part D drugs prescribed in 2019
Estradiol12$2,122$177
Valacyclovir18$1,107$62

2017: 1 drug

Part D drugs prescribed in 2017
Junel Fe11$239$22

Money from drug and device companies

$159 in 2024

Industry payments by year
202411None$159
202211None$220

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Astellas Pharma USVeozah$159
1 payment
  • Meals for Veozah · 2024-09-26 · $159
See the published payment
Every published payment
Astellas Pharma USMeals · 2024-09-26Veozah$159
See earlier years (2022)

2022: $220

Payments by company in 2022
Avion PharmaceuticalsDivigel$220
1 payment
  • Meals for Divigel · 2022-09-30 · $220

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
82.4 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1811177280
Licence
WI 150573-030
More record details
Sole proprietor
No
Medicaid ID
WI 1811177280
Taxonomy
Nurse practitioner (363L00000X)
Mailing address
195 Page Mill Rd Ste 103, Palo Alto, CA, 94306
NPI first listed
2007-11-13
NPI last updated
2025-01-22
NPI record certified
2025-01-22

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 950 W Bannock St Ste 1100, Boise, ID, 83702 · 111 W Jackson Blvd Ste 1700, Chicago, IL, 60604 · 6975 S Union Park Ctr Ste 600, Cottonwood Heights, UT, 84047 · 112 Maverick Ct, Granbury, TX, 76049 · 1433 N Water St Ste 400, Milwaukee, WI, 53202 · 111 N Orange Ave Ste 800, Orlando, FL, 32801 · 450 Alaskan Way S Ste 200, Seattle, WA, 98104