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.

Kevin Jones (NPI 1235142514)

Field	Value
Entity Type	Individual
Organization	Kevin Jones
Address	309 North D Street
City	Porterville
State	CA
ZIP	93257
Taxonomy	Chiropractor
NPI Enumerated	August 15, 2006

Payer Source	Total Paid
Medicare	$89.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	3,470	$30	$90.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Kevin Jones — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
98941	9	1,880	320	$30	$14.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Healthcare Network	CA	Federally Qualified Health Center (FQHC)	$0	$57.7M
Family Healthcare Network	CA	Federally Qualified Health Center (FQHC)	$0	$34.9M
Valley Healthcare Centers	CA	Rural Health Clinic/Center	$0	$31M
Sierra View Local Health Care District	CA	General Acute Care Hospital	$0	$25.3M
Imperial Ambulance Inc	CA	Land Ambulance	$1.4M	$5.8M
Nallathamby Thayapran	CA	Interventional Cardiology Physician	$3.2M	$0
Bindusagar Reddy	CA	Cardiovascular Disease Physician	$1.2M	$950
Steven Lutzker	CA	Dermatology Physician	$915.6K	$0
Nirupama Vemuri	CA	Nephrology Physician	$512.2K	$0
Melody Dumlao	CA	Nephrology Physician	$504.7K	$0

Kevin Jones — Billing Profile & Reimbursement Data

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Kevin 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