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

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

Jones Therapy Services LLC (NPI 1811213556)

Jones Therapy Services LLC is a pediatric rehabilitation medicine physician provider located in Murfreesboro, Tennessee. This profile covers 0 Medicare and 18 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Jones Therapy Services LLC
Address	855 W College St Ste F
City	Murfreesboro
State	TN
ZIP	37129
Taxonomy	Pediatric Rehabilitation Medicine Physician
NPI Enumerated	April 19, 2010

Payer Source	Total Paid
Medicaid	$19.3M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	237,690	$40	$9.5M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	196,000	$40	$8.2M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	21,410	$30	$706.6K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	3,060	$100	$314.7K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	6,930	$40	$305K
H2019	Therapeutic behavioral services, per 15 minutes	1,010	$60	$60.3K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	1,890	$30	$54.9K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	1,520	$20	$31.9K
92609	The provider performs therapeutic services to enable the patient to make the best use of his speech generating device and also trains the patient’s caregiver.	580	$30	$18.4K
97116	The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…	770	$20	$15.4K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

Claims Volume vs. Tennessee Distribution

Jones Therapy Services LLC — 4 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	2	230	2,130	$40	$616.8K
H2019	Therapeutic behavioral services, per 15 minutes	41	70	1,820	$110	$574K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	3	340	1,400	$40	$354.2K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	49	80	3,450	$20	$181.5K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	26	350	1,060	$30	$173.8K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	37	120	610	$10	$81K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	1	60	540	$50	$63K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	1	60	70	$110	$28.3K
92609	The provider performs therapeutic services to enable the patient to make the best use of his speech generating device and also trains the patient’s caregiver.	4	10	300	$30	$27.2K
92522	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns. The jaw, lips, and tongue are examined for proper…	4	10	100	$30	$22.8K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Volunteer Behavioral Health Care System	TN	Counselor	$0	$168M
Twelvestone Medical, Inc.	TN	Home Infusion Therapy Pharmacy	$0	$52.7M
Crossroads Urgent Care PLLC	TN	Family Medicine Physician	$0	$21.6M
Murfreesboro Medical Clinic, P.A.	TN	Specialist	$0	$19.7M
Saint Thomas Rutherford Hospital	TN	General Acute Care Hospital	$0	$16.2M
Charis Hearts Inc.	TN	Home Health Agency	$0	$8.2M
Gateway Healthcare, PC	TN	Urgent Care Clinic/Center	$0	$3.9M
Duratech Medical, Inc.	TN	Prosthetic/Orthotic Supplier	$0	$3.3M
Trustpoint Hospital LLC	TN	Psychiatry Physician	$0	$3.2M
Hometown Respiratory Consultants LLC	TN	Oxygen Equipment & Supplies (DME)	$0	$3.1M

Jones Therapy Services LLC — Billing Profile & Reimbursement Data

Sign up for Jones Therapy Services LLC — Billing Profile & Reimbursement Data policy alerts

Jones Therapy Services LLC — Billing Profile & Reimbursement Data

Sign up for Jones Therapy Services LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References