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

Why is the Medicaid comparison limited to Mississippi 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. Mississippi (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 Family Medicine Clinic PLLC (NPI 1841385168)

Jones Family Medicine Clinic PLLC is a primary care clinic/center provider located in Laurel, Mississippi. This profile covers 0 Medicare and 96 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 Family Medicine Clinic PLLC
Address	30 Circle J Dr
City	Laurel
State	MS
ZIP	39440
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	October 3, 2006

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

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

96 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	57,670	$60	$3.5M
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…	40,420	$40	$1.7M
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	27,320	$60	$1.5M
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	25,610	$30	$640.3K
87634	The lab analyst performs a test for respiratory syncytial virus (RSV) antigen detection using amplified nucleic acid probe technique.	7,220	$40	$317.5K
99203	The provider sees a new 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 provider…	4,440	$60	$253.1K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	12,480	$20	$249.6K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	7,150	$30	$193.1K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	15,660	$10	$172.2K
99204	The provider sees a new 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 provider…	1,750	$80	$143.7K

Showing 1–10 of 96

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Jones Family Medicine Clinic PLLC — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

96 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	37	1,910	930	$60	$278.7K
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…	10	1,670	720	$50	$196.4K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	135	140	400	$80	$191K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	220	240	880	$20	$96.5K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	1	140	480	$60	$92.8K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	108	180	180	$40	$78.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	195	230	190	$80	$74.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	257	270	130	$60	$57.4K
87634	The lab analyst performs a test for respiratory syncytial virus (RSV) antigen detection using amplified nucleic acid probe technique.	1	50	350	$50	$52.9K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	39	750	400	$20	$52.5K

Showing 1–10 of 96

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shannon Weathers	MS	Family Nurse Practitioner	$4.6M	$0
Morgan Jones	MS	Family Nurse Practitioner	$476.4K	$0
Jonathan Whitehead	MS	Family Nurse Practitioner	$129.8K	$0
Robert Wansley	MS	Primary Care Nurse Practitioner	$119.5K	$0
Allen Yelverton	MS	Nurse Practitioner	$79.5K	$0
Kimberly King	MS	Family Nurse Practitioner	$65.5K	$0
Jarrod Gant	MS	Family Nurse Practitioner	$36.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Central Regional Medical Center	MS	General Acute Care Hospital	$0	$48.1M
Chateau Adult Day Center, LLC	MS	In Home Supportive Care Agency	$0	$14.8M
Asap Ems Corporation	MS	Land Ambulance	$850.3K	$5.4M
Magnolia Gardens Assisted Living	MS	Assisted Living Facility (Behavioral Disturbances)	$0	$5.4M
South Central Clinics, Inc	MS	Emergency Medicine Physician	$0	$4.5M
South Central Clinics, Inc	MS	Rural Health Clinic/Center	$0	$4.4M
Tender Loving Care Homecare LLC	MS	In Home Supportive Care Agency	$0	$4.1M
Laurel Surgery & Endoscopy Center, LLC	MS	Ambulatory Surgical Clinic/Center	$520.6K	$3.4M
South Central Clinics, Inc	MS	Rural Health Clinic/Center	$0	$3.3M
South Central Regional Medical Center	MS	Ambulance	$0	$3.1M

Jones Family Medicine Clinic PLLC — Billing Profile & Reimbursement Data

Sign up for Jones Family Medicine Clinic PLLC — Billing Profile & Reimbursement Data policy alerts

Jones Family Medicine Clinic PLLC — Billing Profile & Reimbursement Data

Sign up for Jones Family Medicine Clinic PLLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References