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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Crystal Jones (NPI 1275914285)

Field	Value
Entity Type	Individual
Organization	Crystal Jones
Address	1909 W Park Dr
City	North Wilkesboro
State	NC
ZIP	28659
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	June 16, 2015

Payer Source	Total Paid
Medicare	$39.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 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…	550	$70	$36.4K
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…	60	$30	$1.7K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	10	$30	$460
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…	50	$10	$430
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	50	$1	$160
86580	The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.	20	$10	$90

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Crystal Jones — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,286	18,060	110	$80	$15.1K
99213	8,887	16,320	70	$50	$7.1K
G0180	522	660	20	$40	$940
96372	1,141	2,690	50	$10	$750
81002	243	940	30	$1	$230
86580	7	10	20	$10	$150

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tomas Vybiral	NC	Cardiovascular Disease Physician	$310.9K	$0
Jan Kriska	NC	Sleep Medicine (Internal Medicine) Physician	$219.2K	$0
Gregory Greenwood	NC	Nephrology Physician	$171.8K	$0
Nicholas Mclean	NC	Nephrology Physician	$151.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Life Alliance, LLC	NC	Community/Behavioral Health Agency	$0	$38.2M
Wilkes Pediatric Clinic, PLLC	NC	Pediatrics Physician	$0	$14.2M
Ats Of North Carolina, LLC	NC	Methadone Clinic	$271.6K	$11.5M
Wrmc Hospital Operating Corporation	NC	General Acute Care Hospital	$0	$9.5M
Addus Healthcare (south Carolina), Inc.	NC	Case Manager/Care Coordinator	$0	$7.2M
Steven Anderson	NC	Orthopaedic Surgery Physician	$473.6K	$0
Tolulola Adeola	NC	Hospitalist Physician	$191K	$0
John Mclarney	NC	Diagnostic Radiology Physician	$152.9K	$0
Gregory Evans	NC	Diagnostic Radiology Physician	$135.5K	$0
Zbigniew Cichon	NC	Internal Medicine Physician	$109.7K	$14K

Crystal Jones — Billing Profile & Reimbursement Data

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Crystal 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

Nearby Providers

Frequently Asked Questions

References