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

Why is the Medicaid comparison limited to Washington 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. Washington (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 Smith (NPI 1043653942)

Field	Value
Entity Type	Individual
Organization	Daniel Smith
Address	9709 3rd Ave Ne
City	Seattle
State	WA
ZIP	98115
Taxonomy	Urology Physician
NPI Enumerated	April 10, 2013

Payer Source	Total Paid
Medicare	$85.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	200	$130	$24.9K
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…	210	$100	$21.8K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	80	$210	$17.1K
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…	80	$80	$5.9K
52356	The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…	20	$320	$4.8K
52310	The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…	10	$290	$4.1K
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…	10	$140	$1.7K
84153	The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…	60	$20	$1.1K
51798	Providers perform this ultrasound to measure the volume of residual urine in the bladder.	110	$10	$1.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	90	$10	$680

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Daniel Smith — 2 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
52000	95	180	90	$140	$14.4K
99214	2,649	10,860	100	$80	$13.6K
99215	4,112	4,320	40	$120	$8.4K
52356	50	70	20	$400	$8.1K
84154	10	20	30	$20	$7.6K
84153	42	140	30	$20	$7K
99213	4,078	9,690	60	$60	$6.5K
99204	89	4,750	30	$110	$5.2K
52310	49	70	20	$230	$4.8K
36415	809	1,920	60	$10	$3.5K

Showing 1–10 of 16

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daniel Groth	WA	Allergy & Immunology Physician	$251.2K	$0
John Streidl	WA	Dermatology Physician	$225.9K	$0
Ashley Jerath Tatum	WA	Allergy & Immunology Physician	$213.1K	$0
Frank Virant	WA	Allergy & Immunology Physician	$170.6K	$0
Abraham Greenberg	WA	Podiatrist	$138.4K	$0
David Belcher	WA	Family Medicine Physician	$115.8K	$0
Kelsey Krushinsky	WA	Physical Therapist	$101.3K	$0
Gretchen Lubin	WA	Orthopedic Physical Therapist	$98.7K	$0
Fallan Nirschl	WA	Gerontology Nurse Practitioner	$51K	$0
Steven Felton	WA	Acute Care Nurse Practitioner	$48.6K	$0

Daniel Smith — Billing Profile & Reimbursement Data

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Daniel 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