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

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

Steven Jones (NPI 1275925919)

Field	Value
Entity Type	Individual
Organization	Steven Jones
Address	1000 N Main St
City	Richfield
State	UT
ZIP	84701
Taxonomy	Family Medicine Physician
NPI Enumerated	March 3, 2015

Payer Source	Total Paid
Medicare	$41.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	270	$80	$22.2K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	120	$130	$15.8K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	70	$40	$3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Steven Jones — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	138	460	80	$130	$12.7K
99284	2	490	50	$80	$5.2K
99283	8	180	20	$50	$1.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$3.9M
County Of Sevier	UT	Land Ambulance	$408.6K	$1.7M
Richfield Surgery Center, LLC	UT	Ambulatory Surgical Clinic/Center	$1.6M	$34.1K
Central Utah Public Health Department	UT	Public Health or Welfare Agency	$135.1K	$1.3M
Mountain Utah Family Medicine	UT	Rural Health Clinic/Center	$0	$1.1M
Ihc Health Services Inc	UT	Family Medicine Physician	$0	$1.1M
Richfield Kids Dental, PLLC	UT	Pediatric Dentistry	$0	$576.7K
Kevin Kirk	UT	Ophthalmology Physician	$557.5K	$0
Ihc Health Services Inc	UT	Multi-Specialty Clinic/Center	$0	$505.5K
Sevier School District	UT	Local Education Agency (LEA)	$0	$370.6K

Steven Jones — Billing Profile & Reimbursement Data

Sign up for Steven Jones — Billing Profile & Reimbursement Data policy alerts

Steven Jones — Billing Profile & Reimbursement Data

Sign up for Steven Jones — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References