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

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

Andrew Jones (NPI 1043691421)

Field	Value
Entity Type	Individual
Organization	Andrew Jones
Address	747 52nd St
City	Oakland
State	CA
ZIP	94609
Taxonomy	Blood Banking & Transfusion Medicine Physician
NPI Enumerated	June 11, 2015

Payer Source	Total Paid
Medicare	$5.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
86077	The lab analyst performs a cross match of a specimen that requires interpretation and a written report from the blood bank physician due to a difficult cross match, evaluation of irregular…	130	$40	$4.7K
86078	The blood bank physician investigates a transfusion reaction, including the possible transmission of disease. She then interprets the results and provides a written report.	20	$40	$630

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Andrew Jones — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
86077	10	30	60	$40	$5.7K
86078	6	20	20	$40	$640

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Walter Henricks	OH	Anatomic Pathology Physician	$1.9M	$880
Ayhan Yoruk	CA	Clinical Cardiac Electrophysiology Physician	$338.3K	$0
James Lapinski	OH	Anatomic Pathology & Clinical Pathology Physician	$316.1K	$0
Aida Safar	OH	Anatomic Pathology & Clinical Pathology Physician	$185.5K	$0
Julia Geyer	NY	Hematology (Pathology) Physician	$164.6K	$0
Julian Perry	OH	Ophthalmic Plastic and Reconstructive Surgery Physician	$148.3K	$0
Steven Billings	OH	Clinical Pathology/Laboratory Medicine Physician	$138.3K	$0
Megan Nakashima	OH	Anatomic Pathology & Clinical Pathology Physician	$132.5K	$0
Eric Speakman	OH	Anatomic Pathology & Clinical Pathology Physician	$114.5K	$0
Susan Porter	OH	Anatomic Pathology & Clinical Pathology Physician	$98K	$0

Nearby Providers

Other providers in the same ZIP code as Andrew Jones, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital & Research Center At Oakland	CA	General Acute Care Hospital	$0	$161.9M
Sutter Bay Hospitals	CA	General Acute Care Hospital	$0	$46.8M
La Clinica De La Raza Inc	CA	Federally Qualified Health Center (FQHC)	$0	$29.7M
The Surgery Center Of Alta Bates Summit Medical Center, LLC	CA	Ambulatory Surgical Clinic/Center	$3.4M	$0
481 Asc Project LLC	CA	Ambulatory Surgical Clinic/Center	$2.7M	$180.1K
Tuow Ting	CA	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Dialysis Access Center A Medical Corporation	CA	Ambulatory Surgical Clinic/Center	$1.5M	$367.2K
Jesse Jung	CA	Ophthalmology Physician	$1.7M	$0
Soraya Rofagha	CA	Ophthalmology Physician	$1.6M	$0
Eugene Lit	CA	Ophthalmology Physician	$1.5M	$0

Andrew Jones — Billing Profile & Reimbursement Data

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Andrew 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

Nearby Providers

Frequently Asked Questions

References