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.

Anna Jones (NPI 1679247217)

Field	Value
Entity Type	Individual
Organization	Anna Jones
Address	Sc House Calls Inc
City	Columbia
State	SC
ZIP	29203
Taxonomy	Nurse Practitioner
NPI Enumerated	August 6, 2021

Payer Source	Total Paid
Medicare	$80.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	480	$60	$26.7K
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…	290	$80	$23.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	120	$110	$13.1K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	120	$100	$11K
99489	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…	80	$40	$3.3K
99487	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…	20	$70	$1.3K
G0317	Prolonged nursing facility 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…	50	$20	$920
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	30	$30	$840

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Anna Jones — 0 of 8 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99489	287	340	360	$50	$41.4K
99349	237	530	240	$80	$30.4K
99309	164	470	290	$70	$29.9K
99310	104	270	80	$100	$17.2K
99487	325	350	80	$80	$15.7K
90792	8	150	20	$120	$4.7K
99348	196	320	40	$50	$4.1K
G0317	75	110	80	$20	$2.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sc House Calls Inc	SC	Family Medicine Physician	$0	$11.6M
Lisa Sauls	SC	Family Nurse Practitioner	$3.4M	$0
Joel Waldrop	SC	Emergency Medicine Physician	$2.4M	$9.3K
Andrew Donato	SC	Emergency Medicine Physician	$2.3M	$8.9K
Kenneth Becker	SC	Family Medicine Physician	$1.2M	$0
Jonathan Macon	SC	Internal Medicine Physician	$911.1K	$0
Adediji Osinloye	NC	Internal Medicine Physician	$909.6K	$0
Julia Brown	SC	Family Nurse Practitioner	$742.9K	$0
Aundrea Browning	SC	Family Nurse Practitioner	$692.9K	$0
Otis Speight	SC	Emergency Medicine Physician	$683.6K	$0

Anna Jones — Billing Profile & Reimbursement Data

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Anna 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

Frequently Asked Questions

References