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

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

Marcus Jones (NPI 1326226127)

Field	Value
Entity Type	Individual
Organization	Marcus Jones
Address	12855 N 40 Dr Ste 325
City	Saint Louis
State	MO
ZIP	63141
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	February 4, 2008

Payer Source	Total Paid
Medicare	$1.2M
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
37243	The physician partially or completely blocks vascular blood flow in the target area for benign or malignant tumors (including uterine fibroids), organ ischemia, or infarction.	100	$6,510	$663.6K
37242	The physician partially or completely blocks arterial blood flow in the target area. This code is for services unrelated to hemorrhage or tumor treatment. This code is appropriate for services…	100	$2,850	$296.1K
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…	200	$550	$110.8K
36248	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…	600	$90	$53.9K
75774	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…	650	$80	$48.7K
75726	The provider performs radiological supervision and interpretation of angiographic imaging of specific vessels with injection of contrast (dye) into a visceral (organ) vessel or a secondary branch of…	100	$130	$13.3K
99443	N/A	90	$100	$9K
99442	N/A	70	$70	$4.8K
99152	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…	110	$40	$4.3K
76937	The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures.	100	$30	$3.1K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Marcus Jones — 7 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
37242	1	10	100	$2,850	$296.1K
37243	1	10	30	$3,300	$118.7K
36248	1	10	60	$80	$14.8K
36247	1	10	20	$290	$12.6K
75774	1	10	40	$70	$6.8K
75726	1	10	30	$90	$3.9K
99443	7	80	20	$80	$3.4K
99442	13	180	20	$60	$2.5K
99441	23	110	20	$30	$1.1K
99152	94	430	50	$10	$790

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Sutphen	MO	Radiation Oncology Physician	$1.9M	$0
William Dunn	IL	Radiation Oncology Physician	$1.1M	$0
Travis Bullock	MO	Urology Physician	$533.7K	$0
Beth Levy	MO	Cytopathology Physician	$532.6K	$0
Elizabeth Williams	MO	Urology Physician	$390.7K	$0
Zahid Kaleem	MO	Anatomic Pathology & Clinical Pathology Physician	$345.4K	$0
Christopher Vulin	MO	Urology Physician	$291.2K	$0
Daniel Ferraro	IL	Radiation Oncology Physician	$247.2K	$0
James Rybak	IL	Urology Physician	$247.2K	$0
Jeffrey Parres	IL	Urology Physician	$218.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Hospitals East Communities	MO	General Acute Care Hospital	$0	$56.5M
Bayada Home Health Care, Inc.	MO	Home Health Agency	$0	$41.2M
Mercy Clinic East Communities	MO	Internal Medicine Physician	$0	$22.2M
Excel Home Care, Inc.	MO	Home Health Agency	$0	$19.8M
Biotech X-ray Inc	MO	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$5.1M	$6M
Western Anesthesiology Associates, Inc.	MO	Anesthesiology Physician	$0	$10.9M
Team Select Home Care Of Missouri, Inc.	MO	Nursing Care Agency	$0	$10.7M
Physician Groups Lc	MO	Multi-Specialty Clinic/Center	$0	$9.8M
Sensory Solutions, LLC	MO	Occupational Therapist	$0	$7.3M
Excel Home Care, Inc.	MO	Home Health Agency	$0	$6.2M

Marcus Jones — Billing Profile & Reimbursement Data

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Marcus 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