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

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

Stephanie Jones (NPI 1366069841)

Field	Value
Entity Type	Individual
Organization	Stephanie Jones
Address	610 E 24th St
City	Tishomingo
State	OK
ZIP	73460
Taxonomy	Family Medicine Physician
NPI Enumerated	June 30, 2020

Payer Source	Total Paid
Medicare	$1.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0659	Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not…	30	$30	$990
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	10	$40	$530
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	30	$10	$220
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	10	$10	$110

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oklahoma Distribution

Stephanie Jones — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
85025	274	350	110	$10	$7.4K
83036	736	740	50	$10	$2.1K
87811	260	290	30	$40	$1.8K
G0659	2	10	20	$30	$880

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Center Of Southern Oklahoma Inc	OK	Federally Qualified Health Center (FQHC)	$0	$10.6M
Nes Oklahoma, Inc.	OK	Emergency Medicine Physician	$0	$4.6M
Family Health Center Of Southern Oklahoma Inc	OK	Federally Qualified Health Center (FQHC)	$0	$3M
Family Health Center Of Southern Oklahoma Inc	OK	Federally Qualified Health Center (FQHC)	$0	$1.6M
Jerome Mctague	OK	Emergency Medicine Physician	$147.2K	$0
Jeffery Ruzich	NM	Emergency Medicine Physician	$78.6K	$0
Steven Hinshaw	OK	Family Medicine Physician	$78.5K	$0
Lola Earley	TX	Family Nurse Practitioner	$26.3K	$0
David Campbell	OK	General Practice Physician	$24.8K	$0
Larry Burns	OK	Physician Assistant	$17.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sisterly Care Health Services LLC.	OK	Home Health Agency	$0	$48.4M
Chickasaw Nation Division Of Health	OK	Primary Care Clinic/Center	$0	$18M
Refuge Behavioral Health PLLC	OK	Clinic/Center	$0	$5M
Mercy Hospital Tishomingo, Inc.	OK	Critical Access Hospital	$0	$3.7M
Victory Home Health, LLC	OK	Home Health Agency	$0	$3.5M
Southern Oklahoma Treatment Services, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.6M
Pennington Creek Lifehouse	OK	Case Management Agency	$0	$2.2M
Southeastern Oklahoma Family Services, Inc	OK	Community/Behavioral Health Agency	$0	$1.8M
Johnston County Emergency Medical Services	OK	Intermediate Emergency Medical Technician	$295.8K	$758.6K
Bobby Priddy	OK	Family Nurse Practitioner	$13.5K	$0

Stephanie Jones — Billing Profile & Reimbursement Data

Sign up for Stephanie Jones — Billing Profile & Reimbursement Data policy alerts

Stephanie Jones — Billing Profile & Reimbursement Data

Sign up for Stephanie Jones — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References