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

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

Adam Smith (NPI 1033109608)

Field	Value
Entity Type	Individual
Organization	Adam Smith
Address	2501 Parkview Dr
City	Fort Worth
State	TX
ZIP	76102
Taxonomy	Specialist
NPI Enumerated	October 25, 2005

Payer Source	Total Paid
Medicare	$14.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
74246	The provider uses fluoroscopy and both air and high–density barium contrast to better evaluate the upper gastrointestinal (GI) tract, including the esophagus, stomach, and duodenum. Glucagon may be…	70	$90	$6.3K
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…	90	$50	$4.3K
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…	50	$80	$3.7K
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…	70	$10	$690

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Adam Smith — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	23,332	32,500	110	$80	$17.6K
99213	13,281	29,790	70	$60	$8.4K
74246	2	90	20	$60	$1.2K
96372	2,098	6,020	50	$10	$810

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vivicare Health Partners, LLC	TX	Home Health Agency	$0	$133.2M
Epic Health Services, Inc.	TX	Home Health Agency	$0	$30.1M
Pediatric Home Healthcare, LLC	TX	Home Health Agency	$0	$14.6M
Brian Hajovsky	TX	Ophthalmology Physician	$1.4M	$0
John Parchue	TX	Ophthalmology Physician	$924.7K	$0
Elizabeth Martinez	TX	Family Nurse Practitioner	$271.5K	$0
Brian Flowers	TX	Ophthalmology Physician	$221.8K	$0
Unni Nair	TX	Ophthalmology Physician	$176.6K	$0
Maria De Jesus	TX	Neurology Physician	$157.9K	$0
Laura Abey	TX	Physical Therapist	$104.5K	$0

Adam Smith — Billing Profile & Reimbursement Data

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Adam Smith — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References