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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Sarah Jones (NPI 1033641428)

Field	Value
Entity Type	Individual
Organization	Sarah Jones
Address	143 Asheland Ave
City	Asheville
State	NC
ZIP	28801
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	April 3, 2017

Payer Source	Total Paid
Medicare	$12.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	170	$40	$6.3K
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…	60	$60	$3.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	30	$90	$2.4K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	20	$40	$740
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	20	$1	$40

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Sarah Jones — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	15,645	18,060	110	$80	$15.1K
99213	8,887	16,320	70	$50	$7.1K
G0101	3	530	20	$40	$1.2K
Q0091	110	190	20	$40	$1.1K
81003	2,053	3,230	30	$1	$200

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Uwh Of The Carolinas, PLLC	NC	Obstetrics & Gynecology Physician	$0	$14.9M
Jamie Shutter	NV	Anatomic Pathology & Clinical Pathology Physician	$582.7K	$0
Michelle Simmons	NC	Obstetrics & Gynecology Physician	$314.3K	$0
Jocelyn Clark	NC	Diagnostic Radiology Physician	$146.3K	$0
Jessica Ruhland	NC	Diagnostic Radiology Physician	$129.6K	$0
Emilie Ralston	NC	Diagnostic Radiology Physician	$128.2K	$0
Rachel Mceachern	NC	Diagnostic Radiology Physician	$126.8K	$0
Matthew Plymyer	NC	Anatomic Pathology & Clinical Pathology Physician	$81.5K	$0
Cile Williamson	NC	Obstetrics & Gynecology Physician	$48.6K	$0
Christopher Accetta	SC	Obstetrics & Gynecology Physician	$9.8K	$36.7K

Sarah Jones — Billing Profile & Reimbursement Data

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Sarah 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