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

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

Jimmy Moon (NPI 1992170211)

Field	Value
Entity Type	Individual
Organization	Jimmy Moon
Address	16541 Sweetwater Dr
City	Milton
State	DE
ZIP	19968
Taxonomy	Home Modifications Contractor
NPI Enumerated	December 11, 2015

Payer Source	Total Paid
Medicaid	$964.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5165	Home modifications; per service	290	$3,290	$964.8K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Jimmy Moon — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5165	Home modifications; per service	2	10	290	$2,880	$3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Millsboro Eye Care LLC	DE	Ophthalmology Physician	$0	$1.1M
Lowell F Scott Jr Md PA	DE	Pediatrics Physician	$0	$974.3K
Edward Jaoude	DE	Ophthalmology Physician	$871.1K	$0
Susan Corey	DE	Psychiatric/Mental Health Nurse Practitioner	$134K	$347.4K
Jonathan Patterson	DE	Diagnostic Radiology Physician	$399.5K	$0
Grace Visitation Services	DE	In Home Supportive Care Agency	$0	$389.7K
Fellowship Health Resources, Inc.	DE	Psychiatric Residential Treatment Facility	$0	$319.8K
Thomas Kelly	DE	Internal Medicine Physician	$282.9K	$0
Amanda Smith	DE	Optometrist	$278.2K	$0
Milton Fire Department Inc	DE	Land Ambulance	$210.3K	$14.7K

Jimmy Moon — Billing Profile & Reimbursement Data

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Jimmy Moon — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References