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

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

Pamela Jones (NPI 1295962025)

Field	Value
Entity Type	Individual
Organization	Pamela Jones
Address	3855 Health Sciences Drive
City	La Jolla
State	CA
ZIP	92093
Taxonomy	Neurological Surgery Physician
NPI Enumerated	June 19, 2009

Payer Source	Total Paid
Medicare	$23.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
62165	In this procedure, the provider uses a small neuroendoscope to access the pituitary gland to remove an abnormal growth of the gland. The provider approaches this procedure through the nasal cavity or…	10	$860	$10.3K
99204	The provider sees a new 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 provider…	40	$150	$5.4K
61781	In this add–on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during…	20	$200	$4.5K
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,…	40	$50	$2.2K
99442	N/A	20	$80	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Pamela Jones — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
62165	4	10	20	$960	$13.4K
99204	9,484	19,360	40	$120	$7.2K
61781	14	40	20	$180	$4.3K
99442	2,729	3,530	30	$60	$4.1K
99212	3,069	7,970	30	$40	$3.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Weldon Haw	CA	Ophthalmology Physician	$529.9K	$0
John Keltner	CA	Psychiatry Physician	$378.1K	$0
Don Kikkawa	CA	Ophthalmology Physician	$239.9K	$0
Jose Ruiz	CA	Physician Assistant	$231.5K	$0
Haydee Ojeda-fournier	CA	Diagnostic Radiology Physician	$219K	$0
Nashwa Khogali-jakary	CA	Internal Medicine Physician	$149K	$0
Bobby Korn	CA	Ophthalmology Physician	$147K	$0
Yunxiang Liu	CA	Ophthalmology Physician	$127.2K	$0
Gerald Morris	CA	Clinical Pathology/Laboratory Medicine Physician	$38.1K	$0
Rick Friedman	CA	Otology & Neurotology Physician	$32.7K	$0

Pamela Jones — Billing Profile & Reimbursement Data

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Pamela 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