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.

Ashley Smith (NPI 1104479641)

Field	Value
Entity Type	Individual
Organization	Ashley Smith
Address	2253 Chambliss Ave Nw Ste 101
City	Cleveland
State	TN
ZIP	37311
Taxonomy	Nurse Practitioner
NPI Enumerated	July 23, 2019

Payer Source	Total Paid
Medicare	$62.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	810	$40	$29.1K
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…	240	$60	$14.4K
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…	90	$80	$7.7K
11045	The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…	390	$20	$5.8K
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…	110	$40	$4.4K
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,…	40	$20	$810

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Ashley Smith — 1 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,425	11,370	120	$80	$16.6K
11042	6	250	100	$60	$9.1K
99213	4,383	11,030	80	$50	$8K
99204	737	5,490	30	$100	$5.3K
11045	9	60	90	$20	$3.5K
99212	920	2,140	30	$30	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeastern Physician Services PC	TN	Hospitalist Physician	$0	$14.7M
Jason Della Vecchia	TN	Addiction Medicine (Internal Medicine) Physician	$108.8K	$623.2K
David Zetter	KY	General Practice Physician	$330.5K	$112.4K
Harshul Patel	KY	Internal Medicine Physician	$385.8K	$15K
Ricky Mccullough	GA	Cardiovascular Disease Physician	$300.5K	$0
Thomas Evans	TN	Internal Medicine Physician	$295.1K	$0
Fay Bembry	TN	Psychiatric/Mental Health Nurse Practitioner	$207K	$57.1K
Abhishek Kapila	KY	Internal Medicine Physician	$258.1K	$0
Richard Stone	KY	Family Medicine Physician	$240.7K	$1.6K
Abhijit Raval	SC	Critical Care Medicine (Internal Medicine) Physician	$218.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cleveland Tennessee Hospital Company LLC	TN	General Acute Care Hospital	$0	$16.3M
Cleveland Pediatrics,p.c.	TN	Pediatrics Physician	$0	$11.7M
Kids Dental Center, Gp	TN	General Practice Dentistry	$0	$3.1M
Ocoee Ob/gyn, PC	TN	Obstetrics & Gynecology Physician	$0	$2.3M
Krista Harmon	TN	Family Nurse Practitioner	$1.1M	$0
Novamed Surgery Center Of Cleveland LLC	TN	Ambulatory Surgical Clinic/Center	$533.9K	$65.7K
An Tran	TN	Hematology & Oncology Physician	$587K	$0
Sylvia Krueger	TN	Hematology & Oncology Physician	$444.1K	$0
Paul Smith	TN	Family Medicine Physician	$333.5K	$0
Gregory Ford	TN	Ophthalmology Physician	$320.8K	$0

Ashley Smith — Billing Profile & Reimbursement Data

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Ashley 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

Related Providers

Nearby Providers

Frequently Asked Questions

References