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.

Daniel Jones (NPI 1942205570)

Field	Value
Entity Type	Individual
Organization	Daniel Jones
Address	919 Medical Park Dr
City	Mountain City
State	TN
ZIP	37683
Taxonomy	Physician Assistant
NPI Enumerated	June 20, 2005

Payer Source	Total Paid
Medicare	$32.3K
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
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	240	$60	$15.2K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	170	$30	$5.3K
99484	Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care…	260	$20	$4.4K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	60	$40	$2.8K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	$130	$1.9K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	20	$100	$1.6K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	30	$50	$1.3K

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. Tennessee Distribution

Daniel Jones — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	347	660	270	$70	$29.8K
99308	448	620	150	$50	$13.7K
99490	175	400	130	$40	$11.7K
99310	254	270	60	$100	$11.6K
99497	514	770	40	$60	$3.9K
G0438	175	270	20	$150	$3.8K
99484	4	20	110	$20	$3.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Courtney Goode	MS	Adult Health Nurse Practitioner	$116.9K	$105.4K
Hollie Coates-hensley	TN	Family Nurse Practitioner	$93.6K	$440
Amanda Collier	TN	Family Nurse Practitioner	$88.3K	$250
Melody Stump	TN	Family Nurse Practitioner	$83K	$0
Tammy Ridley	TN	Nurse Practitioner	$81.9K	$190
Tia Criscoe	TN	Family Nurse Practitioner	$73.6K	$30
Laila Hubard	TN	Family Nurse Practitioner	$72.4K	$10
Amy Reagan	TN	Family Nurse Practitioner	$66.9K	$0
Heather Wilson	TN	Nurse Practitioner	$53.8K	$0
Lenora Downs	TN	Adult Health Nurse Practitioner	$53.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Keystone Continuum, LLC	TN	Psychiatric Residential Treatment Facility	$0	$123.7M
Mountain States Health Alliance	TN	Critical Access Hospital	$0	$3M
Bethany Rock	TN	Family Nurse Practitioner	$103.6K	$0
Dereck Campbell	TN	Physician Assistant	$31.9K	$0

Daniel Jones — Billing Profile & Reimbursement Data

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Daniel 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

Nearby Providers

Frequently Asked Questions

References