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

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

Clifton Jones (NPI 1245249788)

Field	Value
Entity Type	Individual
Organization	Clifton Jones
Address	901 Sw Garfield Ave
City	Topeka
State	KS
ZIP	66606
Taxonomy	Infectious Disease Physician
NPI Enumerated	August 5, 2006

Payer Source	Total Paid
Medicare	$55K
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…	320	$60	$19.8K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	440	$40	$16.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	100	$100	$9.7K
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	40	$80	$3.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	20	$90	$1.9K
G0008	Administration of influenza virus vaccine	50	$30	$1.3K
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…	20	$70	$1.1K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	10	$60	$760
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	90	$10	$680

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. Kansas Distribution

Clifton Jones — 1 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,923	4,310	120	$70	$16.4K
99213	539	4,330	90	$50	$8.7K
90694	356	660	50	$70	$6.7K
36415	672	1,090	150	$10	$6.3K
99222	110	1,180	30	$90	$4.3K
99203	1,121	1,450	30	$60	$3.6K
G0008	784	1,320	60	$30	$3.1K
99231	10	590	30	$40	$2.4K
99221	171	200	20	$60	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Geary County Hospital	KS	Rural Health Clinic/Center	$0	$5.5M
Stormont Vail Health Flint Hills LLC	KS	Rural Health Clinic/Center	$0	$2.1M
Geary County Hospital	KS	General Acute Care Hospital	$0	$778.1K
Gilbert Katz	KS	Cardiovascular Disease Physician	$706.4K	$0
Alan Helmbold	KS	Clinical Cardiac Electrophysiology Physician	$442.4K	$0
Joseph Vaglio	KS	Clinical Cardiac Electrophysiology Physician	$363.8K	$0
Steven Seals	KS	Clinical Cardiac Electrophysiology Physician	$333.4K	$0
Tewodros Addisse	KS	Hospitalist Physician	$278.7K	$0
Thomas Alderson	KS	Nephrology Physician	$272.1K	$0
Donney Kastner	KS	Cardiovascular Disease Physician	$258.4K	$0

Clifton 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

Frequently Asked Questions

References