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 Armed Forces Europe for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Europe 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. Armed Forces Europe (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.

Washeema Jones (NPI 1770097859)

Field	Value
Entity Type	Individual
Organization	Washeema Jones
Address	Landstuhl Regional Medical Center
City	Apo
State	AE (Armed Forces Europe)
ZIP	09180
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	November 28, 2017

Payer Source	Total Paid
Medicare	$29.6K
Medicaid	$0

Key Findings

This provider’s billed Medicare volume is small in absolute scale: total Medicare revenue is $29.6K and there is no Medicaid billing on file, so the practice is effectively single-payer (Medicare-only) in the dataset provided. The absence of any Medicaid revenue means payer-mix analysis should treat this entity as focused on Medicare-covered services rather than a dual-payer operation.

Revenue is highly concentrated in three nursing-facility E/M codes: the precomputed top 3 Medicare codes account for 100.0% of this provider's total Medicare revenue. Specifically, 99309 represents $14.8K (49.8% of Medicare revenue), 99308 represents $8.9K (29.8%), and 99305 represents $6K (20.4%).

The code mix (99309, 99308, 99305) indicates an operational focus on nursing facility evaluation-and-management visits including both initial and subsequent SNF/NF encounters; the descriptions show time- and medical-decision-making–based E/M work typical of post-acute or long-term care settings. This pattern is consistent with an Acute Care Nurse Practitioner delivering on-site care in nursing facilities rather than an office-based primary-care panel.

Activity levels by code are modest but nontrivial: the provider filed 192 claims for 99309 with an average paid/claim of $77, 164 claims for 99308 at $54 avg paid/claim, and 63 claims for 99305 at $96 avg paid/claim. The higher average paid/claim for 99305 (initial nursing facility visit) versus the subsequent-visit codes aligns with the greater time/MDM thresholds in that code’s description.

National competitive standing for these codes is middle-of-the-pack rather than dominant: 99309 ranks #14439 of 28092 (48th percentile) and is labeled “typical, unremarkable volume for this code,” 99308 ranks #12374 of 25763 (52th percentile) and is likewise described as typical, and 99305 ranks #3914 of 10126 (61th percentile) and also reads as typical. These percentiles and labels indicate the provider is not an outlier or major national player for its top codes, but participates at a conventional regional/national level.

Tenure on file is established: the NPI was enumerated 2017-11-28 (~9 years ago), indicating the practitioner has a multiyear enrollment history. Given that tenure and the concentrated, Medicare-only revenue mix, this appears to be a steady, narrow-scope practice rather than a recently created high-volume billing operation.

The lack of any Medicaid billing creates both a limitation and a potential strategic signal: limited payer diversification increases dependency on Medicare revenue streams, but it also indicates a clear operational specialization in Medicare nursing-facility visits that could be expanded or replicated with payers that cover post-acute care. Analysts evaluating network opportunities or risk should note the concentrated service line (nursing facility E/M) and the absence of Medicaid activity when comparing to multi-payer competitors.

Medicare: Complete Services Breakdown

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

3 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…	190	$80	$14.8K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	160	$50	$8.9K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	60	$100	$6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Europe Distribution

Washeema Jones — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Europe

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99308	1	10	160	$50	$8.8K
99309	1	10	110	$80	$8.5K
99305	1	10	60	$100	$6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jude Momodu	AE (Armed Forces Europe)	Family Medicine Physician	$42.8K	$86.6K
Matthew Brice	AE (Armed Forces Europe)	Emergency Medicine Physician	$60.1K	$0
Steve Louvet	AE (Armed Forces Europe)	Emergency Medicine Physician	$11.6K	$40.3K
Katherine Cooper	AE (Armed Forces Europe)	Occupational Therapist	$48.9K	$0
Eric Dahl	AE (Armed Forces Europe)	General Practice Physician	$44.8K	$0
Michael Sanzari	AE (Armed Forces Europe)	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$43.9K
Gregory Phillips	AE (Armed Forces Europe)	Neurology Physician	$22.7K	$0
Nicole Fee	AE (Armed Forces Europe)	Optometrist	$15.4K	$3.5K
Carlina Madelaire	AE (Armed Forces Europe)	Anatomic Pathology & Clinical Pathology Physician	$12.6K	$0
Chelsey Koehler	AE (Armed Forces Europe)	Physical Therapist	$10.9K	$0

Washeema Jones — Billing Profile & Reimbursement Data

Sign up for Washeema Jones — Billing Profile & Reimbursement Data policy alerts

Washeema Jones — Billing Profile & Reimbursement Data

Sign up for Washeema Jones — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References