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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Clayton Jones (NPI 1043326655)

Field	Value
Entity Type	Individual
Organization	Clayton Jones
Address	246 Pleasant St
City	Concord
State	NH
ZIP	03301
Taxonomy	Clinical Cardiac Electrophysiology Physician
NPI Enumerated	August 23, 2006

Payer Source	Total Paid
Medicare	$51.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93656	A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider punctures the thin wall between the heart…	20	$750	$15K
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…	170	$70	$11.7K
99204	The provider sees a new 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 provider…	70	$100	$7.5K
93653	A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider induces, or attempts to induce, arrhythmia. The…	10	$660	$7.3K
33208	The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.	20	$410	$7K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$100	$1.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$60	$1.2K
99152	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…	50	$10	$500
93280	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system. He changes various operating…	10	$30	$330
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	20	$10	$90

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Hampshire Distribution

Clayton Jones — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93656	6	10	20	$740	$19.2K
99214	1,118	3,150	110	$80	$13.2K
33208	12	20	20	$400	$10.3K
99232	897	990	70	$60	$9.8K
93653	4	10	10	$650	$9.1K
99204	210	1,340	30	$100	$4.6K
99222	631	710	30	$100	$3.4K
93280	34	40	40	$30	$2.3K
93010	240	270	90	$10	$2.2K
99152	36	90	40	$10	$630

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Concord Hospital, Inc.	NH	General Acute Care Hospital	$0	$28.8M
Concord Hospital-laconia	NH	General Acute Care Hospital	$0	$9.3M
Concord Hospital, Inc.	NH	General Practice Physician	$0	$3.7M
Concord Hospital-laconia	NH	Medicare Defined Swing Bed Hospital Unit	$0	$2.9M
Concord Hospital-laconia	NH	Family Medicine Physician	$0	$2.5M
Concord Hospital, Inc.	NH	Emergency Medicine Physician	$0	$2.5M
Hoke Shirley	NH	Rheumatology Physician	$407K	$0
Jeffrey Wiley	NH	Orthopaedic Surgery Physician	$317.2K	$0
Neil Dion	NH	Orthopaedic Surgery Physician	$276.5K	$0
Jason Desmarais	NH	Orthopaedic Surgery Physician	$267.4K	$0

Clayton 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