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

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

Paige Jones (NPI 1710655352)

Field	Value
Entity Type	Individual
Organization	Paige Jones
Address	313 Main St
City	Sidney
State	IA
ZIP	51652
Taxonomy	Family Nurse Practitioner
NPI Enumerated	August 30, 2021

Payer Source	Total Paid
Medicare	$1.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	20	$40	$710
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	10	$60	$670
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	30	$10	$240
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	20	$1	$50

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Paige Jones — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87636	7	10	20	$140	$17.8K
85025	590	770	70	$10	$1.8K
99283	248	360	20	$50	$1.5K
81001	334	390	40	$1	$280

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sakeer Hussain	IA	Hematology & Oncology Physician	$1.9M	$0
Clarinda Regional Health Center	IA	Family Medicine Physician	$0	$1.8M
Clarinda Regional Health Center	IA	Critical Access Hospital	$0	$1.7M
Clayton Thor	NE	Orthopaedic Surgery Physician	$207.4K	$0
Neil Jones	NC	Surgery Physician	$160.9K	$0
Matthew Maslonka	NE	Pulmonary Disease Physician	$160.6K	$0
Robert Greenhagen	NE	Foot & Ankle Surgery Podiatrist	$144.6K	$0
Jayasheel Eshcol	MO	Interventional Cardiology Physician	$141.5K	$0
Harvey Hopkins	NE	Pulmonary Disease Physician	$130.9K	$0
Patrick Nelson	NE	Foot & Ankle Surgery Podiatrist	$112.7K	$0

Paige Jones — Billing Profile & Reimbursement Data

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Paige 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