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

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

Carnel Jones (NPI 1639577232)

Field	Value
Entity Type	Individual
Organization	Carnel Jones
Address	102 Hubert Dollar Dr
City	Bainbridge
State	GA
ZIP	39819
Taxonomy	Professional Counselor
NPI Enumerated	December 12, 2014

Payer Source	Total Paid
Medicaid	$163.8K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,710	$100	$163.8K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Georgia Distribution

Carnel Jones — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	196	880	410	$90	$148.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Payal Sud	IL	Clinical Social Worker	$66.6K	$3.2M
Christopher Norris	GA	Professional Counselor	$0	$962.1K
Thadeus Holloway	GA	Professional Counselor	$0	$939.1K
Keith London	GA	Professional Counselor	$0	$695.7K
Barry Chapman	GA	Professional Counselor	$0	$554.9K
Charlinda Cannady	GA	Professional Counselor	$0	$494.3K
Jordan Child	GA	Marriage & Family Therapist	$0	$447.4K
Lashonda Lane	GA	Professional Counselor	$0	$417.2K
Tamika Summers	GA	Marriage & Family Therapist	$0	$374.1K
James Brown	IN	Psychiatric/Mental Health Nurse Practitioner	$285.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charles Brown	GA	Diagnostic Radiology Physician	$193.5K	$0
Darrell Surratt	GA	Family Medicine Physician	$181.6K	$0
Kimberly Baxley	GA	Physical Therapist	$60.8K	$0
Lisa Martin	GA	Optometrist	$48.9K	$0
Christina Haire	GA	Clinical Social Worker	$29.8K	$0
Brittney Tyus	GA	Family Nurse Practitioner	$18.2K	$0

Carnel Jones — Billing Profile & Reimbursement Data

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Carnel Jones — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References