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 Connecticut for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Connecticut 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. Connecticut (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.

Diana Jones (NPI 1023481041)

Field	Value
Entity Type	Individual
Organization	Diana Jones
Address	24 Hospital Ave
City	Danbury
State	CT
ZIP	06810
Taxonomy	Certified Registered Nurse Anesthetist
NPI Enumerated	November 13, 2015

Payer Source	Total Paid
Medicare	$8.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
01844	The provider performs anesthesia services for a patient undergoing a vascular shunt procedure, or shunt revision of any type, such as for dialysis.	50	$90	$4.5K
00790	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.	10	$130	$1.8K
01402	The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.	10	$120	$1.6K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	20	$50	$990

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Diana Jones — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01844	2	10	20	$150	$6.5K
01402	113	140	20	$160	$3.7K
00811	264	450	30	$70	$2.9K
00790	26	60	10	$190	$2.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mcleod Medical Center-dillon	SC	General Acute Care Hospital	$0	$13.6M
Mcleod Physician Associates Ii	SC	Pediatrics Physician	$0	$13.1M
Columbia Eye Surg Center Inc	SC	Ophthalmologic Surgery Clinic/Center	$3.5M	$1.2K
Mcleod Physician Associates Ii	SC	Obstetrics & Gynecology Physician	$0	$2.5M
Mcleod Physician Associates Ii	SC	Urgent Care Clinic/Center	$0	$2.3M
Mcleod Physician Associates Ii	SC	Pediatric Orthopaedic Surgery Physician	$0	$1.6M
Neerav Sheth	PA	Interventional Cardiology Physician	$525.9K	$0
Alexander Bustamante	VA	Cardiovascular Disease Physician	$476K	$0
Anil Om	SC	Interventional Cardiology Physician	$474.6K	$0
Prabal Guha	SC	Clinical Cardiac Electrophysiology Physician	$451.9K	$0

Diana Jones — Billing Profile & Reimbursement Data

Sign up for Diana Jones — Billing Profile & Reimbursement Data policy alerts

Diana Jones — Billing Profile & Reimbursement Data

Sign up for Diana Jones — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References