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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Robert Jones (NPI 1255331021)

Field	Value
Entity Type	Individual
Organization	Robert Jones
Address	207 E 5th Ave
City	Ranson
State	WV
ZIP	25438
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 22, 2005
NPI Deactivated	March 21, 2006

Payer Source	Total Paid
Medicare	$48.6K
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
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…	290	$80	$22K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	100	$120	$12.8K
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…	160	$50	$8.5K
99495	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…	20	$150	$2.4K
90756	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…	30	$30	$1.1K
G0008	Administration of influenza virus vaccine	30	$30	$850
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$40	$540
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	30	$10	$200
G0102	Prostate cancer screening; digital rectal examination	10	$10	$150

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. West Virginia Distribution

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

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	466	2,740	100	$70	$11.8K
G0439	151	560	60	$120	$9.3K
99213	822	2,860	80	$50	$7.5K
99495	97	160	20	$120	$3K
99212	516	620	30	$30	$2K
G0008	362	560	50	$30	$2K
36415	265	340	80	$10	$1.7K
90756	7	10	30	$30	$1.3K
G0102	1	10	10	$10	$150

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jefferson Memorial Hospital	WV	Critical Access Hospital	$0	$21.6M
East Mountain Health Physicians, Inc.	WV	Urgent Care Clinic/Center	$0	$5.1M
Jmh Emergency Physicians	WV	Emergency Medicine Physician	$0	$2.6M
Jefferson Pharmacy Inc	WV	Pharmacy	$13.8K	$2.1M
City Hospital, Inc.	WV	Internal Medicine Physician	$0	$1.9M
Jefferson County Council On Aging	WV	Home Health Agency	$0	$1.5M
Jefferson County Emergency Services Agency	WV	Land Ambulance	$336.8K	$638.2K
Jefferson Memorial Hospital	WV	Internal Medicine Physician	$0	$941.1K
Gagan Singh	WV	Ophthalmology Physician	$449K	$0
Said Sana	WV	Family Medicine Physician	$424.4K	$0

Robert Jones — Billing Profile & Reimbursement Data

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Robert 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