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

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

Rachel Marie Jelks (NPI 1326284415)

Field	Value
Entity Type	Organization
Organization	Rachel Marie Jelks
Address	140 Cypress Station
City	Houston
State	TX
ZIP	77090
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 19, 2008

Payer Source	Total Paid
Medicaid	$11.2M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	8,020	$1,040	$8.3M
H2014	Skills training and development, per 15 minutes	20,600	$60	$1.2M
M0150	N/A	4,820	$160	$780.2K
T2020	Day habilitation, waiver; per diem	3,830	$120	$463.7K
M0116	N/A	6,350	$40	$222.4K
H2019	Therapeutic behavioral services, per 15 minutes	460	$310	$141.7K
D0120	Periodic oral evaluation - established patient	20	$1,080	$26K
M0299	N/A	130	$110	$15.2K
M0133	N/A	30	$300	$10.3K
M0298	N/A	140	$50	$7K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Texas Distribution

Rachel Marie Jelks — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	166	430	5,020	$270	$5.6M
M0150	N/A	57	80	6,450	$160	$1.4M
H2014	Skills training and development, per 15 minutes	143	560	9,630	$80	$1.4M
H2019	Therapeutic behavioral services, per 15 minutes	100	160	1,030	$100	$322.9K
T2020	Day habilitation, waiver; per diem	108	370	2,050	$70	$306.1K
M0116	N/A	92	240	5,200	$30	$250.7K
M0133	N/A	122	130	430	$80	$65.6K
D0120	Periodic oral evaluation - established patient	4,520	5,000	500	$30	$59.9K
M0299	N/A	237	310	590	$30	$47.5K
M0298	N/A	132	150	670	$20	$25.7K

Nearby Providers

Other providers in the same ZIP code as Rachel Marie Jelks, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Services, Inc.	TX	Home Health Agency	$0	$85.4M
Houston Northwest Operating Company, LLC	TX	General Acute Care Hospital	$0	$18.4M
Spring Independent School District	TX	Local Education Agency (LEA)	$0	$12.2M
Elixir Diagnostics, LLC	TX	Clinical Medical Laboratory	$4.1M	$360
Olympia Jeffries	TX	Nurse Practitioner	$1.4M	$0
Northwest Surgery Center, Ltd	TX	Ambulatory Surgical Clinic/Center	$899.8K	$0
Kirk Kanady	TX	Radiation Oncology Physician	$603.6K	$0
Kozhaya Sokhon	TX	Cardiovascular Disease Physician	$397.7K	$0
Eric Kleinbaum	TX	Hematology & Oncology Physician	$391.1K	$0
Tri Nguyen	TX	Dermatology Physician	$366.7K	$0

Rachel Marie Jelks — Billing Profile & Reimbursement Data

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Rachel Marie Jelks — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References