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

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

Shawn Jones (NPI 1821051152)

Field	Value
Entity Type	Individual
Organization	Shawn Jones
Address	2605 Kentucky Ave Ste 601
City	Paducah
State	KY
ZIP	42003
Taxonomy	Otolaryngology Physician
NPI Enumerated	April 8, 2006

Payer Source	Total Paid
Medicare	$37.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	110	$90	$9.2K
14060	The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.	20	$480	$8.6K
14040	The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…	20	$400	$6K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	30	$130	$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…	60	$60	$3.4K
13132	The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…	20	$190	$3.3K
42975	After the patient receives sedation and is asleep, the provider uses an endoscope to assess the throat and check the palate and tongue areas. The goal is to determine where airway obstruction is…	40	$70	$2.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

Shawn Jones — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
13132	34	40	80	$200	$20K
14060	23	30	20	$520	$15.1K
14040	9	10	20	$470	$13.1K
31231	47	80	40	$130	$9.3K
99213	4,421	7,250	80	$50	$7.7K
31575	7	110	50	$80	$4.6K
42975	1	10	20	$70	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Norton Childrens Medical Group, LLC	KY	Pediatrics Physician	$0	$107.3M
Peter Locken	KY	Radiation Oncology Physician	$426K	$0
Sanjay Bose	KY	Interventional Cardiology Physician	$296.5K	$7.9K
John Migliano	AZ	Hematology & Oncology Physician	$300.2K	$0
Robert Lipson	AZ	Urology Physician	$275.2K	$0
Griffin Bicking	KY	Vascular Surgery Physician	$247.5K	$0
Harikrishnan Damodaran Nair	KY	Interventional Cardiology Physician	$234.8K	$0
William Porter	IN	Radiation Oncology Physician	$227.5K	$0
Darrell New	KY	Family Nurse Practitioner	$44.7K	$181.4K
Vedran Oruc	KY	Clinical Cardiac Electrophysiology Physician	$218.2K	$0

Shawn Jones — Billing Profile & Reimbursement Data

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Shawn 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