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

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

Gina Jefferson (NPI 1417125535)

Gina Jefferson is a otolaryngology physician provider located in Jackson, Mississippi. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Gina Jefferson
Address	2500 N State St
City	Jackson
State	MS
ZIP	39216
Taxonomy	Otolaryngology Physician
NPI Enumerated	February 11, 2008

Payer Source	Total Paid
Medicare	$75.8K
Medicaid	$0

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
15757	The provider creates a free skin flap using microvascular techniques. He uses a flap taken from a donor site and placed at the wound site, connecting vessels in the donor flap to vessels in the…	10	$1,650	$23K
99214	The provider sees an established 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…	160	$80	$13.6K
38724	The provider excises the lymph nodes and any diseased soft tissue he finds in the cervical area. He takes care to dissect free and preserve the spinal accessory nerve, the jugular vein, and the…	10	$1,020	$13.3K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	110	$70	$7.9K
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…	60	$120	$7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	50	$60	$2.8K
31615	In this procedure, the provider performs tracheobronchoscopy through a tracheal opening created earlier. In tracheobronchoscopy, the provider passes a flexible tube with a camera at one end through…	20	$120	$2.2K
31600	The provider performs tracheostomy, which is a surgical procedure in which the provider exposes the trachea, which is the windpipe, and creates an opening in it. This code represents a planned…	10	$180	$2.1K
31536	The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect the presence of any abnormalities. He also surgically removes a sample of the abnormal or…	20	$130	$2.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	10	$130	$1.6K

Showing 1–10 of 11

Gina Jefferson — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
15757	1	10	10	$1,640	$23K
99214	2,061	4,110	170	$70	$21.9K
38724	3	10	20	$1,070	$19.2K
99213	2,826	4,000	100	$50	$10.3K
99215	836	900	40	$110	$9K
31575	18	60	70	$80	$7K
99204	689	2,150	40	$100	$5.8K
31536	2	10	20	$130	$2.7K
31615	1	10	20	$120	$2.2K
31600	1	10	10	$170	$2.1K