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

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

Terri Jones (NPI 1104033687)

Field	Value
Entity Type	Individual
Organization	Terri Jones
Address	13420 W. Meadowlark Lane
City	Pocatello
State	ID
ZIP	83204
Taxonomy	Case Manager/Care Coordinator
NPI Enumerated	May 16, 2007

Payer Source	Total Paid
Medicaid	$445.2K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9002	Coordinated care fee, maintenance rate	2,940	$150	$434.5K
G9007	Coordinated care fee, scheduled team conference	80	$130	$10.7K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.

Claims Volume vs. Idaho Distribution

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

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9002	Coordinated care fee, maintenance rate	28	40	11,630	$40	$913.2K
G9007	Coordinated care fee, scheduled team conference	29	30	1,140	$110	$294K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A New Hope, LLC	ID	Developmentally Disabled Services Day Training Agency	$0	$5.7M
Bloom Center For Pediatric Therapy, LLC	ID	Speech-Language Pathologist	$0	$5.5M
Consumer Care LLC	ID	Community/Behavioral Health Agency	$0	$5.1M
Hope Tree Inc	ID	Community/Behavioral Health Agency	$0	$3.2M
Jennifer Putnam	ID	Speech-Language Pathologist	$0	$1.3M
Care Connection Of Idaho	ID	Home Health Agency	$0	$1.2M
Pacific Rim Consulting LLC	ID	Community/Behavioral Health Agency	$0	$884K
Community Wellness Center, Inc	ID	Case Management Agency	$0	$426.9K
Candlewood Family Counseling Center, Inc.	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$343.3K
Maag Prescription Center L.L.C.	ID	Oxygen Equipment & Supplies (DME)	$0	$336.7K

Terri Jones — Billing Profile & Reimbursement Data

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Terri Jones — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References