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

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

Lisa Lynch Jones (NPI 1790051894)

Field	Value
Entity Type	Individual
Organization	Lisa Lynch Jones
Address	3850 Park Nicollet Blvd
City	St Louis Park
State	MN
ZIP	55416
Taxonomy	Family Nurse Practitioner
NPI Enumerated	March 22, 2012

Payer Source	Total Paid
Medicare	$1.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
46607	In this procedure, the provider performs anoscopy, an examination of the anus using a small, tubular instrument called an anoscope. He uses high resolution magnification and chemical agent…	10	$130	$1.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	30	$10	$220

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Lisa Lynch Jones — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36415	2,808	3,480	80	$10	$1.5K
46607	1	10	10	$130	$1.4K

Lisa Lynch Jones — Billing Profile & Reimbursement Data

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

Lisa Lynch Jones — Billing Profile & Reimbursement Data

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

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References