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

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

Rebecca Jones (NPI 1417234899)

Field	Value
Entity Type	Individual
Organization	Rebecca Jones
Address	2540 N Healthy Way
City	Fremont
State	NE
ZIP	68025
Taxonomy	Physician Assistant
NPI Enumerated	November 14, 2011

Payer Source	Total Paid
Medicare	$15.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	70	$110	$8.3K
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…	30	$90	$3.1K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	40	$70	$2.7K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	30	$40	$1.2K
G0318	Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…	20	$20	$440

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nebraska Distribution

Rebecca Jones — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99350	9	30	40	$130	$21.6K
99349	33	50	60	$80	$16.3K
99490	176	180	220	$40	$13K
99215	487	920	40	$110	$7K
G0318	5	10	30	$20	$620

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Methodist Fremont Health	NE	Rural Acute Care Hospital	$0	$7.9M
Good Neighbor Community Health Center	NE	Federally Qualified Health Center (FQHC)	$0	$4.2M
Pediatric Partners L.L.C.	NE	Family Nurse Practitioner	$0	$2.8M
Methodist Fremont Health	NE	Internal Medicine Physician	$0	$2.7M
Fcd Smiles, PC	NE	Pediatric Dentistry	$0	$1.7M
Muhammad Haroon	NE	Hematology & Oncology Physician	$1.4M	$0
Albert Behavioral Health LLC	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.1M
Fremont Children's Dentistry, LLC	NE	Pediatric Dentistry	$0	$1M
Midwest Anesthesia P.C.	NE	Interventional Pain Medicine Physician	$0	$959.9K
Hand In Hand Therapy LLC	NE	Mental Health Counselor	$0	$874.7K

Rebecca Jones — Billing Profile & Reimbursement Data

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Rebecca 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

Nearby Providers

Frequently Asked Questions

References