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

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

Mark Jones (NPI 1700998572)

Field	Value
Entity Type	Individual
Organization	Mark Jones
Address	2825 8th Ave N
City	Billings
State	MT
ZIP	59101
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicare	$275.9K
Medicaid	$0

Key Findings

This provider is a Mohs-micrographic surgery specialist: the top revenue codes are Mohs procedures 17311, 17312, and 17313 alongside reconstructive closures and grafts (13132, 15260, 14060/14061). The code mix—high-volume Mohs stages plus layered repairs, grafts, and intermediate/complex closures—indicates a practice focused on skin cancer excision with same-day reconstruction rather than a general dermatology clinic.

Medicare revenue is modest in absolute terms at $275.9K total, and the practice shows high revenue concentration: the top three Medicare codes by revenue account for 65.8% of total Medicare revenue, with 17311 alone representing $127.5K (46.2% of Medicare revenue). This concentration underscores that Mohs surgery (especially code 17311) is the primary revenue driver for the provider.

The provider appears effectively single-payer at the claim level: there is no Medicaid billing on file, so Medicare ($275.9K) represents the entirety of observed public-payer revenue. Analysts should treat this profile as Medicare-dominated with no Medicaid footprint to benchmark against in-state.

Competitive standing for the top Mohs code 17311 is typical rather than dominant: the provider ranks #492 of 2969 nationally (83rd percentile) for 17311 and similarly sits in typical volume percentiles for other leading Mohs and repair codes (e.g., 17312 at the 76th percentile, 13132 at the 84th percentile). These ranks suggest steady, unremarkable national volume—well above median activity but not among national leaders.

Procedure-level payments and volumes reflect a surgical practice model with both high-frequency, lower-paid Mohs staging and higher-paid tissue reconstruction: for example, 529 claims of 17311 at $241 avg paid/claim generated $127.5K, while lower-claim but higher-unit-payment codes like 15260 (25 claims at $675 avg) and 14060 (21 claims at $509 avg) meaningfully supplement revenue. This mix is consistent with an operator who performs many staged excisions and selectively performs higher-reimbursement reconstructive procedures.

Tenure is long-standing: the NPI was enumerated on 2006-08-31 (~20 years ago), indicating sustained presence in the market which can support referral relationships and steady case flow for Mohs procedures. Analysts should consider this longevity when assessing stability of future billing patterns.

Across lower-revenue codes, activity is broadly within typical ranges nationally—many E/M and minor procedure codes fall in mid-to-high percentiles (for example, 99213 at the 86th percentile and 99203 at the 84th percentile) while several lab and add-on codes sit at lower percentiles. This pattern reinforces a surgical-centric practice that also bills routine office visits and intraoperative pathology at expected frequencies.

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
17311	Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…	530	$240	$127.5K
17312	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	240	$150	$36K
13132	The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…	160	$110	$17.9K
15260	This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.	30	$680	$16.9K
17313	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	60	$230	$14.2K
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…	290	$50	$13.2K
14060	The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.	20	$510	$10.7K
14061	The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2 in size.	10	$640	$7.7K
99203	The provider sees a new 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 provider…	90	$60	$5.3K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	130	$40	$4.8K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Mark Jones — 0 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	2	10	400	$390	$144.4K
17312	3	10	150	$300	$52.6K
15260	5	10	30	$770	$23.1K
14060	6	10	30	$570	$20.1K
17313	3	10	40	$380	$16.2K
13132	2	10	40	$190	$14K
99214	1,715	1,810	100	$70	$12.4K
14061	4	10	20	$700	$11.8K
11102	44	80	150	$50	$9.7K
17000	64	110	190	$30	$9.6K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Billings Clinic	MT	General Practice Physician	$0	$53.8M
Billings Clinic	MT	Emergency Care Clinic/Center	$0	$15.7M
Billings Clinic	MT	General Acute Care Hospital	$0	$3.1M
Omar Ahmed	NY	Neurology Physician	$1M	$1.8M
Billings Clinic	MT	Durable Medical Equipment & Medical Supplies	$0	$2.4M
Applied Health Services Incorporated	MT	Durable Medical Equipment & Medical Supplies	$0	$2.2M
Pamela Smith	KY	Hematology & Oncology Physician	$1.8M	$0
Charles Mayron	TX	Retina Specialist (Ophthalmology) Physician	$1.4M	$16.8K
Basel Skeif	AZ	Cardiovascular Disease Physician	$990.8K	$0
Benjamin Citrin	AL	Interventional Cardiology Physician	$442.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rimrock Foundation	MT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$44.9M
Scl Health Medical Group - Billings LLC	MT	Clinic/Center	$0	$32.2M
Residential Support Services	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$30.6M
Billings Public School District 2	MT	Local Education Agency (LEA)	$0	$19.2M
South Central Montana Regional Mental Health Center	MT	Clinic/Center	$0	$16.6M
Community Solutions Incorporated	MT	Clinical Medical Laboratory	$0	$14.1M
Scl Health Montana	MT	General Acute Care Hospital	$0	$13.5M
Benefis Community Care, Inc.	MT	Case Management Agency	$0	$10.8M
American Medical Response Ambulance Service Inc	MT	Ambulance	$2.1M	$6.7M
Yellowstone Pathology Institute, Inc.	MT	Clinical Medical Laboratory	$777.4K	$4.4M

Mark Jones — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References