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

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

Matthew Jones (NPI 1548255755)

Field	Value
Entity Type	Individual
Organization	Matthew Jones
Address	400 Campus Blvd Ste 100
City	Winchester
State	VA
ZIP	22601
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	September 14, 2005

Payer Source	Total Paid
Medicare	$1.3M
Medicaid	$0

Medicare: Complete Services Breakdown

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

53 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	14,150	$40	$594.3K
J9144	Injection, daratumumab, 10 mg and hyaluronidase‑fihj	8,280	$40	$306.4K
J9022	Injection, atezolizumab, 10 mg	2,530	$60	$162K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	440	$100	$43.7K
Q5119	Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg	1,380	$20	$29K
J0897	Injection, denosumab, 1 mg	1,440	$20	$25.9K
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…	260	$90	$24.3K
J2506	Injection, pegfilgrastim, excludes biosimilar, 0.5 mg	280	$80	$22.1K
J1437	Injection, ferric derisomaltose, 10 mg	1,200	$20	$19.2K
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…	240	$60	$14.8K

Showing 1–10 of 53

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 53 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Matthew Jones — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

53 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	49	110	12,800	$40	$610.9K
J9144	26	60	8,280	$40	$332.7K
J9022	1	10	2,530	$60	$162.9K
J0897	271	340	2,820	$20	$89.3K
Q5119	26	40	1,570	$20	$39.6K
J1437	11	20	1,500	$20	$33.1K
J2506	24	40	360	$80	$31.2K
96413	43	230	250	$100	$28.5K
99214	4,178	12,890	140	$80	$21K
J3490	40	110	60	$280	$20.5K

Showing 1–10 of 53

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Richard Ingram	VA	Hematology & Oncology Physician	$1.7M	$0
William Houck	VA	Hematology & Oncology Physician	$1.7M	$0
Michael Mccusker	VA	Hematology & Oncology Physician	$1.5M	$0
Lee Resta	VA	Hematology & Oncology Physician	$1.1M	$0
Lindsey Morgan O'brien	VA	Hematology & Oncology Physician	$828K	$0
Christian Barlow	VA	Hematology & Oncology Physician	$680.9K	$0
Kristine Reed	VA	Hematology & Oncology Physician	$470.7K	$0
Bruce Flax	VA	Radiation Oncology Physician	$383.2K	$0
Kristin Kowalchik	VA	Radiation Oncology Physician	$204.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grafton School, Inc.	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$92M
Winchester Medical Center	VA	General Acute Care Hospital	$0	$69.9M
Grafton School Inc	VA	Psychiatric Residential Treatment Facility	$0	$33M
Shenandoah Valley Community Residences, Inc.	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.4M
Compassionate Home Care	VA	In Home Supportive Care Agency	$0	$14.5M
Nova Family Services, Inc.	VA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$13.5M
Uncle Sam Transportation LLC	VA	Taxi	$0	$12M
National Counseling Group, Inc	VA	Mental Health Counselor	$0	$11.2M
Pediatrix Medical Group PC	VA	Neonatal-Perinatal Medicine Physician	$0	$10.8M
Winchester Medical Center	VA	Obstetrics & Gynecology Physician	$0	$10M

Matthew Jones — Billing Profile & Reimbursement Data

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Matthew 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