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

Why is the Medicaid comparison limited to South 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. South 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.

Brian Jones (NPI 1295178697)

Field	Value
Entity Type	Individual
Organization	Brian Jones
Address	200 Patewood Dr Ste C300
City	Greenville
State	SC
ZIP	29615
Taxonomy	Vascular Surgery Physician
NPI Enumerated	April 16, 2013

Payer Source	Total Paid
Medicare	$39.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

26 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…	50	$80	$3.9K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	140	$30	$3.9K
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	$50	$3.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	30	$110	$2.7K
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…	40	$60	$2.6K
36558	The provider places a catheter, without a subcutaneous port or pump in one of the major veins carrying the blood to the heart or directly into the right atrium, to administer medication, nutrients,…	10	$190	$2.4K
93925	The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…	90	$30	$2.4K
36247	Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…	10	$180	$2.4K
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…	20	$100	$1.7K
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…	30	$60	$1.6K

Showing 1–10 of 26

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Brian Jones — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. state median

26 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6,076	7,860	160	$80	$23.2K
99232	2,677	2,780	90	$60	$12K
99213	4,831	7,690	100	$60	$10.8K
99215	1,521	2,360	40	$120	$9.3K
93880	79	360	60	$80	$8.2K
99204	4,360	4,520	40	$110	$6.4K
36247	14	20	30	$190	$5.3K
36558	34	50	20	$230	$4.8K
93925	26	170	30	$90	$4.8K
99222	1,275	1,830	30	$90	$4.2K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Memorial Hospital At Gulfport	MS	General Acute Care Hospital	$0	$87.5M
University Of South Alabama	AL	Children's Hospital	$0	$24.8M
University Of South Alabama	AL	Neonatal-Perinatal Medicine Physician	$0	$11.6M
University Of South Alabama	AL	Clinical Medical Laboratory	$0	$4.6M
University Of South Alabama	AL	General Acute Care Hospital	$0	$4.6M
University Of South Alabama	AL	Internal Medicine Physician	$0	$4.1M
University Of South Alabama	AL	Obstetrics & Gynecology Physician	$0	$4M
Osama Abdul-rahim	TX	Vascular & Interventional Radiology Physician	$1.5M	$0
University Of South Alabama	AL	Body Imaging Physician	$0	$1.1M
Robert Gilbert	AL	Radiation Oncology Physician	$528K	$0

Brian Jones — Billing Profile & Reimbursement Data

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Brian 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