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

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

Rebecca Jones (NPI 1861432841)

Field	Value
Entity Type	Individual
Organization	Rebecca Jones
Address	138 Elliot St
City	Brattleboro
State	VT
ZIP	05301
Taxonomy	Dermatology Physician
NPI Enumerated	June 7, 2006

Payer Source	Total Paid
Medicare	$176.2K
Medicaid	$0

Key Findings

This provider is effectively a single-payer Medicare practice: lifetime Medicare revenue is $176.2K and there is no Medicaid billing on file, so Medicaid does not contribute to the payer mix and Medicare represents the entire documented public-payer footprint for this NPI. Analysts should treat the profile as Medicare-centric when benchmarking payer behavior or access patterns.

Revenue concentration is high within a few office E/M and procedure codes: the precomputed top 3 Medicare codes account for 64.2% of the provider's total Medicare revenue, indicating that a small set of services drives most Medicare income and that changes to utilization or reimbursement of those codes would materially affect revenue.

Service mix and business implications: the top revenue codes are 99214 and 99213 (office E/M for established patients) and 11102 (single lesion shave biopsy), which together point to a dermatology practice focused on routine outpatient evaluation with frequent lesion evaluation/biopsy. The blend of frequent mid-level E/M visits and procedural biopsies suggests a clinic model that combines longitudinal medical dermatology with procedural lesion management rather than a surgery-focused or cosmetic-heavy practice.

Volume and competitive standing for core E/M codes: 99214 generates $51.1K (29.0% of Medicare revenue) across 639 claims and ranks in the 93th percentile nationally, and 99213 generates $41.5K (23.5% of Medicare revenue) across 681 claims and ranks in the 97th percentile nationally. Those percentiles and claim counts indicate notably above-typical national volume for both established-patient E/M levels, marking the provider as a relatively high-volume E/M originator among peers.

Procedural footprint and relative positioning: 11102 produces $20.7K (11.7% of Medicare revenue) from 280 claims and ranks in the 81th percentile nationally, characterized as typical or unremarkable volume for that biopsy code. Along with destruction code 17000 ($17.8K, 10.1% of revenue, typical volume, 77th percentile), the pattern shows steady minor-procedure throughput consistent with office-based diagnostic and lesion treatment work rather than extensive excisions or complex reconstructions.

Code-level outliers and lower-ranked procedures: other procedure codes such as 12032 and 12052 for intermediate wound repairs contribute meaningful single-code revenue ($10.2K and $5.8K respectively) but rank in lower national percentiles (66th and 41th), indicating modest competitive presence for intermediate repairs on trunk/face. Several excision codes (11602, 11601, 11641, 11642) appear at small volumes and low percentiles, reinforcing that most procedural revenue is from biopsies and lesion destruction rather than high-volume malignant excisions.

Tenure and potential experience signal: the NPI was enumerated on 2006-06-07, roughly 20 years ago, indicating long-term practice presence in the market. This tenure is consistent with the sustained Medicare volume in core E/M codes and procedural services and suggests established referral and patient panels in the Brattleboro, VT area.

Operational risk sensitivity: because nearly two-thirds of Medicare revenue is concentrated in the top three codes (64.2%), the provider’s financial performance is sensitive to small shifts in utilization or reimbursement for the established-patient E/M codes and shave biopsy. Payers or network managers considering contract adjustments should note this concentration when forecasting revenue impact or negotiating changes in coding mix.

Medicare: Complete Services Breakdown

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

17 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…	640	$80	$51.1K
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…	680	$60	$41.5K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	280	$70	$20.7K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	400	$50	$17.8K
12032	This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.	40	$230	$10.2K
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…	120	$70	$8.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	180	$40	$6.2K
12052	This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips and/or mucous membranes that are 2.6 to 5.0 cm in size.	20	$240	$5.8K
11602	The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the trunk, arms, or legs.	30	$90	$2.6K
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…	20	$110	$2.3K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Rebecca Jones — 3 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	22	960	90	$70	$10.6K
17000	5	40	170	$30	$7.7K
11102	3	40	140	$50	$7.4K
99213	16	910	80	$50	$6.7K
12032	5	20	20	$170	$5.8K
12052	7	10	40	$130	$5.7K
11642	3	10	50	$110	$4.2K
99204	205	330	30	$100	$4.1K
99203	23	310	30	$60	$2.7K
11602	3	10	20	$90	$2.3K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rebecca M Jones, Md, LLC	VT	Dermatology Physician	$0	$87.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Winston L. Prouty Center For Child Development, Inc.	VT	Developmentally Disabled Services Day Training Agency	$0	$5.5M
Rescue Inc.	VT	Ambulance	$1M	$3.3M
Brattleboro Memorial Hospital	VT	General Acute Care Hospital	$0	$2.4M
Habit Opco, LLC	VT	Substance Use Disorder Rehabilitation Clinic/Center	$463.1K	$1.5M
Lincare Inc.	VT	Durable Medical Equipment & Medical Supplies	$0	$915K
Windham County Dental Center Inc	VT	Dental Clinic/Center	$0	$621.8K
Youth Services, Inc.	VT	Mental Health Counselor	$0	$600.4K
Green Mountain Counseling Associates	VT	Mental Health Counselor	$0	$598.2K
Erin Berard	VT	Mental Health Counselor	$0	$571.5K
Timothy Whitney	VT	Mental Health Counselor	$0	$555.1K

Rebecca Jones — Billing Profile & Reimbursement Data

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Rebecca Jones — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References