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 U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands 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. U.S. Virgin Islands (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.

Duanne Jones (NPI 1841308087)

Field	Value
Entity Type	Individual
Organization	Duanne Jones
Address	9151 Estate Thomas Ste 203
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Public Health Dentistry
NPI Enumerated	August 28, 2006

Payer Source	Total Paid
Medicaid	$33.2M
Medicare	$0

Key Findings

This provider is effectively single‑payer Medicaid; there is no Medicare billing on file while lifetime Medicaid revenue totals $33.2M, indicating the practice’s entire Medicare/Medicaid footprint is driven by state Medicaid activity rather than dual enrollment. Analysts should treat DUANNE JONES as a Medicaid-centric entity for payer-network or public program analyses.

Medicaid revenue is concentrated in a few high-value codes: the top three Medicaid codes by revenue account for 41.7% of total Medicaid revenue, signaling that a relatively small set of services drive a large share of receipts. This concentration implies that changes in reimbursement or utilization for those leading codes could materially impact the provider’s financials.

The highest single Medicaid revenue source is D2740, which generated $8M (26.6% of Medicaid revenue) across 7.5K claims with an average paid/claim of $1062; this code’s rank #1 of 2 in‑state and 100th percentile placement indicates the provider is a leading state performer for this service and operates at meaningful scale on this code. Given D2740 is a restorative/crown-related code, the practice appears to perform substantial restorative dentistry by volume.

Several high-volume restorative and routine care codes also appear prominently, including D2392 (7.2K claims, $1.8M; 100th percentile), D2391 (7.1K claims, $1.3M; 100th percentile), D0150 (7.1K claims, $810.4K; 100th percentile), D1110 (5.5K claims, $576.3K; 100th percentile), and D0120 (5.4K claims, $388.4K; 100th percentile). These patterns suggest a broad primary dental care operation with heavy emphasis on composite restorations, evaluations, and prophylaxis, and that the provider is notably above typical state volume for many routine dentistry services.

The provider is a dominant statewide performer on many codes: numerous entries are ranked #1 in the state and flagged as 100th percentile or “notably above typical” state volume (e.g., D2392, D7140, D2391, D0210, D1351, D1120). This consistent top ranking across diverse codes indicates the practice is a major Medicaid service provider in the territory rather than a marginal participant.

High‑average paid/claim items such as D8080 ($2.1M revenue, $6082 avg paid/claim), D5214 ($885K, $2148 avg), and several crown/endo codes (D2750, D3330, D3320, D3310) contribute significant absolute dollars despite lower claim counts. The mix of high‑unit-value procedures alongside large volumes of routine preventive and restorative codes implies a hybrid operation that delivers both higher‑complexity, higher‑reimbursement interventions and high-throughput primary dental care.

Tenure on file is long: the NPI was enumerated on 2006-08-28 (~20 years ago), indicating an established presence in the market. This longevity combined with top statewide rankings suggests sustained Medicaid participation and capacity to capture volume over many years.

Because the provider has no Medicare billing on file, comparative national Medicare benchmarking is not applicable; competitive and utilization assessments should therefore focus on in‑state Medicaid peer comparisons and the specific high-volume/high-revenue Medicaid codes driving the practice’s revenue base.

Medicaid: Complete Services Breakdown

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

48 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2740	N/A	7,520	$1,060	$8M
D6750	N/A	2,390	$1,030	$2.5M
D8080	N/A	340	$6,080	$2.1M
D2392	Post 2 surface resin‑based composite	7,150	$250	$1.8M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	6,380	$250	$1.6M
D6240	N/A	1,570	$910	$1.4M
D2391	Resin‑based composite – one surface, posterior	7,060	$190	$1.3M
D3330	N/A	1,070	$1,140	$1.2M
D2950	N/A	3,320	$320	$1.1M
D3320	N/A	930	$1,000	$931K

Showing 1–10 of 48

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. U.S. Virgin Islands Distribution

Duanne Jones — 17 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — U.S. Virgin Islands

Full comparison — all codes billed, vs. U.S. Virgin Islands median

48 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2740	N/A	1	10	4,100	$1,080	$4.4M
D6750	N/A	1	10	2,390	$1,030	$2.5M
D8080	N/A	1	10	340	$6,080	$2.1M
D6240	N/A	1	10	1,570	$910	$1.4M
D5214	N/A	1	10	410	$2,150	$885K
D3330	N/A	1	10	770	$1,140	$881.3K
D2750	Crown - porcelain fused to high noble metal	1	10	830	$1,030	$857.4K
D3320	N/A	1	10	510	$1,000	$503K
D0380	N/A	1	10	1,550	$290	$445.1K
D3310	Endodontic therapy, anterior tooth (excluding final restoration)	1	10	470	$920	$433.6K

Showing 1–10 of 48

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vi Government Hospital And Health Facilities Corp	VI	General Acute Care Hospital	$0	$23.6M
The St Thomas East End Medical Center Corporation	VI	Federal Public Health Clinic/Center	$0	$12.8M
Aac-air Ambulance Caribbean Inc.	VI	Air Ambulance	$2M	$8.6M
Vi Relocation Services And Rentals LLC	VI	Land Ambulance	$0	$6.8M
Alicia Prentice	VI	Home Health Aide	$0	$3.9M
Stretcher Plus, LLC	VI	Non-emergency Medical Transport (VAN)	$0	$2.8M
Cog Restore, LLC	VI	Rehabilitation Clinic/Center	$0	$2.1M
Dept Of Health, Govt Of Vi Ems St Thomas	VI	Land Ambulance	$0	$1.5M
Vi Oral Surgery, Inc	VI	Oral and Maxillofacial Surgery (Dentist)	$0	$1.4M
Department Of Health	VI	Ambulatory Family Planning Facility	$0	$1.3M

Duanne Jones — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References