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

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

Sheneil Jones (NPI 1053955658)

Field	Value
Entity Type	Individual
Organization	Sheneil Jones
Address	214 Prosperity Dr
City	Knoxville
State	TN
ZIP	37923
Taxonomy	Occupational Therapist
NPI Enumerated	November 6, 2019

Payer Source	Total Paid
Medicare	$108.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	2,140	$20	$40.6K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	1,800	$20	$34.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	1,270	$20	$28K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	50	$70	$3.7K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	20	$70	$1.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	70	$20	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Sheneil Jones — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	1,706	1,830	460	$20	$12.5K
97530	137	1,560	350	$20	$12.3K
97112	14	1,220	240	$20	$6.7K
97535	3	190	80	$20	$4.9K
97166	7	90	20	$70	$1.9K
97167	4	10	20	$70	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jillian Childs	TN	Physical Therapist	$133.6K	$0
Brooke Hullett	TN	Occupational Therapist	$103.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Deborah L Curlee Communication Consultants Inc	TN	Speech-Language Pathologist	$0	$54.5M
Rha Health Services Tn LLC	TN	Developmentally Disabled Services Day Training Agency	$0	$31.7M
Parkwest Medical Center	TN	General Acute Care Hospital	$0	$30M
Preferred Care At Home	TN	In Home Supportive Care Agency	$0	$19M
Tennessee Ear, Nose & Throat Consultants, PC	TN	Otolaryngology Physician	$0	$9.2M
Nurturing Independence Inc	TN	In Home Supportive Care Agency	$0	$5.9M
Special Care Inc.	TN	Community Based Hospice Care Agency	$0	$5.1M
Childhelp, Inc.	TN	Community/Behavioral Health Agency	$0	$4.8M
Family Home Care Services, LLC	TN	In Home Supportive Care Agency	$0	$4.7M
East Tn Human Resource Agency	TN	Non-emergency Medical Transport (VAN)	$0	$3.9M

Sheneil 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