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

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

Jackson Radiology Associates PA (NPI 1699700716)

Jackson Radiology Associates PA is a diagnostic radiology physician provider located in Jackson, Tennessee. This profile covers 0 Medicare and 82 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Jackson Radiology Associates PA
Address	31 Sandstone Cir
City	Jackson
State	TN
ZIP	38305
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

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

82 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	29,370	$30	$910.3K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	183,900	$1	$551.7K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	39,040	$10	$468.5K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	16,630	$30	$448.9K
93976	The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…	14,360	$20	$315.9K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	8,830	$20	$176.5K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	15,950	$10	$175.5K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	32,610	$1	$130.4K
74018	Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.	41,460	$1	$124.4K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	9,370	$10	$112.4K

Showing 1–10 of 82

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Jackson Radiology Associates PA — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

82 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	2,897	3,760	610	$40	$202.3K
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…	2,084	4,050	620	$30	$183.9K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	7	210	400	$50	$157.2K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	14	50	170	$110	$131.5K
93976	The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…	2	30	120	$70	$126.7K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	5	50	130	$70	$104K
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…	983	1,080	120	$80	$90.7K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	52	120	300	$60	$89.7K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	154	150	210	$70	$85.6K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	6	230	460	$20	$83K

Showing 1–10 of 82

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Ulm	TN	Gynecologic Oncology Physician	$1.1M	$0
William Klein	TN	Diagnostic Radiology Physician	$529.5K	$0
Aaron Brandis	AZ	Vascular & Interventional Radiology Physician	$310.1K	$0
Ajay Singh	PA	Diagnostic Radiology Physician	$290.3K	$6K
Scott Akin	AL	Diagnostic Radiology Physician	$189K	$52.6K
John Crocker	TN	Diagnostic Radiology Physician	$220.2K	$0
Jeremiah Wright	TN	Diagnostic Radiology Physician	$209.9K	$0
Ali Raza	FL	Vascular & Interventional Radiology Physician	$183.5K	$9K
John Moyers	TN	Diagnostic Radiology Physician	$192.3K	$0
Eric Rushing	MS	Diagnostic Radiology Physician	$166.6K	$24.3K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Staffco Of Southwest Tn, LLC. Dba At Home Healthcare Of Southwest Tn	TN	In Home Supportive Care Agency	$0	$32.3M
Madison Haywood County Developmental Services, Inc	TN	Developmentally Disabled Services Day Training Agency	$0	$23M
Loving Arms, LLC	TN	Home Health Agency	$0	$13.3M
Impact Healthcare, PLLC	TN	Addiction Medicine (Family Medicine) Physician	$0	$10.1M
Encare, LLC.	TN	In Home Supportive Care Agency	$0	$9.1M
George M Short Dds Ms PC	TN	Pediatric Dentistry	$0	$8.7M
Jackson Clinic PA	TN	Internal Medicine Physician	$0	$7.9M
Family Care Walk In Clinic, Inc.	TN	Family Medicine Physician	$0	$6.2M
Therapy & Learning Center Inc	TN	Rehabilitation Clinic/Center	$0	$4.2M
Jackson Ophthalmology Asc LLC	TN	Ambulatory Surgical Clinic/Center	$3.1M	$20.7K

Jackson Radiology Associates PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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