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

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

Brian Jones (NPI 1194236273)

Field	Value
Entity Type	Individual
Organization	Brian Jones
Address	5800 Ridge Ave
City	Philadelphia
State	PA
ZIP	19128
Taxonomy	Physician Assistant
NPI Enumerated	October 17, 2017

Payer Source	Total Paid
Medicare	$25.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	130	$60	$7.8K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	130	$50	$6.6K
99203	The provider sees a new 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 provider…	70	$70	$4.4K
J7324	Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	40	$100	$4.1K
73562	In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	40	$30	$1K
J1020	Injection, methylprednisolone acetate, 20 mg	180	$1	$550
J1030	Injection, methylprednisolone acetate, 40 mg	80	$10	$490
73030	This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.	10	$20	$260
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	20	$10	$180

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Brian Jones — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J7324	74	100	70	$100	$9.6K
99213	6,517	22,370	70	$60	$7.7K
20610	614	1,980	60	$50	$6.7K
99203	1,566	7,330	30	$70	$3.5K
73562	542	920	50	$20	$2K
73030	1,381	1,430	40	$20	$1.1K
96372	1,209	1,480	50	$10	$1K
J1030	198	510	60	$10	$640
J1020	7	60	40	$1	$330

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Uhs Of Fairmount Inc	PA	Psychiatric Hospital	$0	$30.2M
On Demand Urgent Care Group PC	PA	Urgent Care Clinic/Center	$0	$25.4M
Northern Home For Children And Family Service	PA	Community/Behavioral Health Agency	$0	$12.4M
David A. Bresler Dds PC	PA	Pediatric Dentistry	$0	$11.7M
Prime Healthcare Services Roxborough LLC	PA	General Acute Care Hospital	$0	$8.8M
Kutest Kids Early Intervention Co.	PA	Occupational Therapist	$0	$7.1M
Yapa Apartment Living Program, Inc.	PA	Community/Behavioral Health Agency	$0	$6.5M
Intercommunity Action, Inc.	PA	Case Management Agency	$0	$5.8M
Scott Hessen	PA	Clinical Cardiac Electrophysiology Physician	$393.3K	$160
Robert Lee	PA	Foot & Ankle Surgery Podiatrist	$311.7K	$18K

Brian Jones — Billing Profile & Reimbursement Data

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Brian 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

Nearby Providers

Frequently Asked Questions

References