Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Michael Jones (NPI 1013020080)

Field	Value
Entity Type	Individual
Organization	Michael Jones
Address	2833 Babcock Rd Ste 435
City	San Antonio
State	TX
ZIP	78229
Taxonomy	Surgery of the Hand (Plastic Surgery) Physician
NPI Enumerated	August 16, 2006

Payer Source	Total Paid
Medicare	$48.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	200	$60	$11.4K
25115	The provider performs extensive removal of diseased tissue, with bursa, synovium, and/or tendon anatomy involved.	20	$550	$10K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	130	$70	$9.3K
20526	The provider injects medication into the carpal tunnel to provide short term relief of symptoms of carpal tunnel syndrome, or CTS. CTS is a condition where the patient experiences pain, numbness, and…	50	$70	$3.6K
20550	Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.	70	$40	$2.9K
64721	Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…	20	$170	$2.7K
73140	In this diagnostic procedure, the provider performs a radiological study of one or more fingers. He performs two or more views.	80	$30	$2.2K
20605	In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may…	60	$40	$2K
20612	A ganglion cyst is an abnormal fluid filled mass, or lump, arising from a tendon or joint, commonly occurring in the hand or wrist but can occur in the foot or ankle. Treatment is not required for a…	30	$40	$1.2K
73130	In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.	40	$30	$1.2K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Michael Jones — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
64721	107	150	20	$400	$12.7K
25115	1	10	20	$560	$9.5K
99213	6,522	29,790	70	$60	$8.4K
99203	848	10,820	30	$70	$3.4K
20526	9	90	20	$70	$2K
20550	122	680	30	$40	$1.9K
20600	254	370	30	$30	$1.6K
20605	46	370	20	$40	$1.3K
20612	2	20	20	$40	$1.2K
73140	34	290	20	$20	$910

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with Michael Jones, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services Washington	WA	Pulmonary Disease Physician	$0	$78.6M
Providence Health & Services Washington	WA	General Acute Care Hospital	$0	$39.9M
Providence Health & Services Washington	WA	Clinical Medical Laboratory	$1.6M	$9.3M
Providence Health & Services- Washington	WA	General Practice Physician	$0	$7.6M
Providence Health & Services Washington	WA	Rural Health Clinic/Center	$0	$6.3M
Providence Health & Services Washington	WA	Ambulatory Surgical Clinic/Center	$271.6K	$1.7M
Providence Health & Services Mt	MT	Psychiatric/Mental Health Nurse Practitioner	$0	$1.8M
Daniel Baird	WA	Dermatology Physician	$739.5K	$0
Rebecca Muntean	WA	Rheumatology Physician	$290.8K	$0
Ricardo Alvarado	TX	Pain Medicine Physician	$286.8K	$0

Michael Jones — Billing Profile & Reimbursement Data

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Michael Jones — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References