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

Why is the Medicaid comparison limited to North 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. North 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.

Haile Jones (NPI 1780822882)

Field	Value
Entity Type	Individual
Organization	Haile Jones
Address	306 Becker Dr.
City	Roanoke Rapids
State	NC
ZIP	27870
Taxonomy	Interventional Cardiology Physician
NPI Enumerated	January 27, 2009

Payer Source	Total Paid
Medicare	$351.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
37225	N/A	20	$5,330	$106.5K
37229	N/A	20	$6,350	$101.7K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	100	$300	$30.4K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	200	$90	$17.6K
J2785	Injection, regadenoson, 0.1 mg	330	$50	$15.4K
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…	240	$60	$13K
36245	Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…	20	$580	$11.1K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	130	$50	$6.8K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	50	$130	$6.7K
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…	90	$70	$6.4K

Showing 1–10 of 29

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Haile Jones — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

29 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
37229	12	10	20	$5,000	$149.9K
37225	16	30	20	$3,960	$111K
93306	481	770	210	$80	$19.3K
99214	10,304	18,060	110	$80	$15.1K
78452	128	480	60	$170	$14.3K
A9500	44	200	100	$80	$11.5K
J2785	45	250	160	$40	$9.9K
99232	4,480	5,690	70	$60	$8.1K
99213	2,417	16,320	70	$50	$7.1K
99223	1,639	4,580	30	$130	$6.5K

Showing 1–10 of 29

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of North Carolina At Chapel Hill	NC	Anesthesiology Physician	$0	$87.6M
Vidant Medical Group LLC	NC	Multi-Specialty Clinic/Center	$0	$78M
Pitt County Memorial Hospital, Inc	NC	General Acute Care Hospital	$0	$60.3M
East Carolina University	NC	Internal Medicine Physician	$0	$53.7M
University Of North Carolina Hospitals At Chapel Hill	NC	General Acute Care Hospital	$0	$50.7M
Unc Physicians Network LLC	NC	General Practice Physician	$0	$47M
Caldwell Memorial Hospital, Inc.	NC	General Acute Care Hospital	$0	$28.8M
Rex Hospital Inc.	NC	General Acute Care Hospital	$0	$25.3M
Pitt County Memorial Hospital Inc	NC	Ambulance	$0	$15.6M
Eastern Radiologists Inc	NC	Diagnostic Radiology Physician	$0	$14.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spring Life Behavioral Care LLC	NC	Non-emergency Medical Transport (VAN)	$0	$37.4M
New Beginnings Day Treatment Center, LLC	NC	Developmentally Disabled Services Day Training Agency	$0	$16.4M
Park Avenue Pediatrics PA	NC	Pediatrics Physician	$0	$10.6M
Home Life Care Inc	NC	In Home Supportive Care Agency	$0	$10.3M
Able Home Health Care, LLC	NC	Personal Care Attendant	$0	$10.3M
Holt Assessment Services	NC	Community/Behavioral Health Agency	$0	$10.1M
Halifax Regional Medical Center Inc	NC	General Acute Care Hospital	$0	$9.6M
Rural Health Group, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$7.1M
Morse Clinic Of Roanoke Rapids, PC	NC	Methadone Clinic	$73K	$2.5M
Brian Crichlow	NC	Ophthalmology Physician	$429.5K	$0

Haile 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

Nearby Providers

Frequently Asked Questions

References