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

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

Cara Jones (NPI 1295146967)

Field	Value
Entity Type	Individual
Organization	Cara Jones
Address	152 N Power Rd Ste 1
City	Mesa
State	AZ
ZIP	85205
Taxonomy	Mental Health Counselor
NPI Enumerated	May 15, 2014

Payer Source	Total Paid
Medicare	$71.9K
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
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	870	$80	$72K

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. Arizona Distribution

Cara Jones — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	4	250	230	$90	$26.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Village Mentors	AZ	Developmental Disabilities Clinic/Center	$0	$6.2M
Ronald Glick	AZ	Dermatology Physician	$696.3K	$0
Minh Luong	AZ	Family Medicine Physician	$270.1K	$0
Stephen Thomas	AZ	Internal Medicine Physician	$237.7K	$0
Andrew Burrell	AZ	Family Medicine Physician	$190.1K	$0
Spencer Hardy	AZ	Podiatrist	$152.2K	$0
Walgreen Co	AZ	Pharmacy	$117.5K	$0
Walgreen Co	AZ	Pharmacy	$103.7K	$0
Blair Sandall	AZ	Foot & Ankle Surgery Podiatrist	$97.4K	$0
Kevin Kon	AZ	Nurse Practitioner	$57.9K	$0

Cara Jones — Billing Profile & Reimbursement Data

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Cara 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