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.

Laura Jones (NPI 1407801202)

Field	Value
Entity Type	Individual
Organization	Laura Jones
Address	1483 Tobias Gadson Blvd
City	Charleston
State	SC
ZIP	29407
Taxonomy	Hand Occupational Therapist
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicare	$48.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	770	$20	$16.8K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	910	$20	$13.6K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	820	$10	$11.5K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	90	$70	$6.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	20	$20	$320
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	20	$10	$130

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Laura Jones — 1 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	521	1,250	600	$20	$20K
97110	565	1,390	710	$20	$19.2K
97140	164	1,100	240	$20	$6.9K
97535	235	250	100	$20	$4.5K
97165	5	100	30	$70	$2.7K
97035	80	80	70	$10	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dustin Hambright	SC	Adult Reconstructive Orthopaedic Surgery Physician	$458.1K	$0
Todd Lansford	SC	Orthopaedic Surgery Physician	$355.7K	$0
Emily Darr	SC	Physical Medicine & Rehabilitation Physician	$254.9K	$0
James Dalton	SC	Sports Medicine (Orthopaedic Surgery) Physician	$227.4K	$0
Benjamin Schell	SC	Orthopaedic Surgery of the Spine Physician	$214.6K	$0
John Hulvey	SC	Sports Medicine (Family Medicine) Physician	$201.5K	$0
Seth Kupferman	SC	Sports Medicine (Orthopaedic Surgery) Physician	$166.4K	$0
Daniel Wartinbee	SC	Orthopaedic Hand Surgery Physician	$128.1K	$0
South Carolina Sports Medicine & Orthopaedic Center	SC	Sports Medicine (Orthopaedic Surgery) Physician	$109.5K	$10
Jon Devries	SC	Orthopaedic Hand Surgery Physician	$103.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dentistry For Children Of South Carolina, PC	SC	Pediatric Dentistry	$0	$68.4M
Medcare Express - North Charleston LLC	SC	Urgent Care Clinic/Center	$0	$34.8M
Justiceworks Behavioral Care	SC	Community/Behavioral Health Agency	$0	$18.6M
Carolina Health Force	SC	Nursing Care Agency	$0	$8.8M
Plantation Pediatrics, LLC	SC	Pediatrics Physician	$0	$8.2M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$5.8M
Charleston Pediatric Rehabilitation LLC	SC	Speech-Language Pathologist	$0	$3.8M
Charleston Ent Associates, LLC	SC	Ambulatory Surgical Clinic/Center	$482K	$2.8M
Charleston Ot LLC	SC	Occupational Therapist	$0	$3.2M
Active Sc One, Inc.	SC	Adult Day Care Clinic/Center	$0	$3.2M

Laura Jones — Billing Profile & Reimbursement Data

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Laura 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