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

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

Jared Smith (NPI 1104497700)

Field	Value
Entity Type	Individual
Organization	Jared Smith
Address	4720 S I 10 Service Rd W Ste 206
City	Metairie
State	LA
ZIP	70001
Taxonomy	Family Nurse Practitioner
NPI Enumerated	July 5, 2021

Payer Source	Total Paid
Medicare	$2.6M
Medicaid	$0

Key Findings

This provider’s Medicare footprint is the primary and effectively sole payer presence: total Medicare revenue is $2.6M and there is no Medicaid billing on file, so the practice operates as a de facto single-payer (Medicare) billing entity in the available data. The absence of Medicaid activity prevents any in-state Medicaid peer comparisons and suggests either a Medicare-focused patient panel or an affiliation/setting that does not bill Medicaid.

Revenue is highly concentrated in a very small set of procedures: the precomputed top-3 Medicare codes account for 96.6% of this provider’s Medicare revenue, indicating that a narrow service mix — not a broad ambulatory panel — drives nearly all billed revenue. Clinically and financially, this level of concentration creates exposure to reimbursement or utilization changes for those specific codes.

Two amniotic/skin-membrane products dominate the book of business: Q4262 (1.8K claims, $1030 avg paid/claim, $1.9M revenue; 73.9% of total Medicare revenue) and Q4253 (720 claims, $767 avg paid/claim, $552.2K revenue; 21.5% of total Medicare revenue) together constitute the vast majority of payments. The code descriptions and the large paid-per-claim amounts imply a procedure-driven practice model focused on placement of amniotic/skin substitute membranes (wound or ocular surface applications), rather than volume-driven E/M work.

Operational mix includes home-based E/M and debridement services in smaller volume: codes such as 99349 (404 claims, $80 avg paid/claim, $32.3K revenue; 1.3% of total Medicare revenue) and a series of debridement codes (11042, 11043, 11045, 11046) and skin substitute codes (15271, 15275) appear throughout the top billings but contribute only marginally to total revenue. This suggests the provider performs complementary wound care and home-visit evaluation services that support the higher-revenue membrane applications rather than serving as primary revenue sources.

Competitive standing across the top codes is generally modest to typical rather than dominant: Q4262 ranks #52 of 141 providers nationally (64th percentile; typical, unremarkable volume for this code), Q4253 ranks #60 of 73 providers nationally (18th percentile; typical, unremarkable volume for this code), and 99349 ranks #2386 of 14284 providers nationally (83th percentile; typical, unremarkable volume for this code). These rankings indicate the provider is not a national outlier or market leader for these services, even where revenue is concentrated.

Several mid- and lower-volume codes nevertheless sit at comparatively higher national percentiles, indicating pockets of above-average activity: for example, 11042 ranks #1486 of 10712 providers nationally (86th percentile; typical, unremarkable volume for this code) and 11043 ranks #1079 of 2062 providers nationally (47th percentile; typical, unremarkable volume for this code). This mixed percentile profile implies the provider has selective strengths in certain procedural components of wound care while overall remaining a modest participant nationally for the highest-revenue membrane codes.

Tenure in the Medicare program is relatively recent: the NPI was enumerated on 2021-07-05 (~5 years ago), which is consistent with a practice that has built a concentrated procedural case mix over a short to medium horizon rather than a long-established multiservice clinic. That tenure should be considered when assessing growth trajectory and vulnerability to coding/reimbursement changes.

The concentration in high-priced supply/product codes (Q4262 and Q4253) combined with minimal Medicaid participation creates both a clear strategic profile and a potential business risk: the practice’s revenue depends heavily on reimbursement and utilization patterns for amniotic/skin-membrane products under Medicare, and any changes to coverage, pricing, or medical necessity policies for these products could materially affect the provider’s financials. Analysts should monitor claims mix and any policy notices affecting Q4262/Q4253 to assess near-term revenue risk.

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4262	Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)	1,850	$1,030	$1.9M
Q4253	Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	720	$770	$552.2K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	400	$80	$32.3K
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.	310	$70	$22.2K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	180	$120	$21.2K
15271	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.	100	$100	$9.7K
11043	The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…	70	$140	$9.2K
15275	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…	70	$100	$7.2K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	50	$120	$6.1K
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…	210	$30	$5.5K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Jared Smith — 1 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	4	10	1,100	$1,000	$1.4M
Q4253	4	10	1,700	$690	$1.1M
99350	12	50	60	$120	$14.8K
11043	19	50	50	$130	$12.3K
11042	25	200	80	$60	$10.2K
99349	4	100	60	$80	$8.9K
15275	8	20	70	$100	$7.2K
11046	14	20	100	$40	$6.2K
11045	18	50	160	$20	$5.1K
99348	50	60	50	$50	$4.4K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Blandon Sorrell	LA	Family Nurse Practitioner	$6.2M	$0
Wound Care Associates LLC	LA	Specialist	$0	$5.6M
Shanda Jackson	LA	Family Nurse Practitioner	$4M	$0
Stephen Price	LA	Physician Assistant	$3.4M	$0
Lakisher Morgan	LA	Family Nurse Practitioner	$2M	$0
Adam Janot	LA	Retina Specialist (Ophthalmology) Physician	$1.6M	$47.4K
Tara Sykes	MS	Family Nurse Practitioner	$1.6M	$0
Gavin Mayo	MS	Family Nurse Practitioner	$1.5M	$0
Arthur Delahoussaye	LA	Ophthalmology Physician	$508.2K	$843.1K
Gerald Miletello	LA	Medical Oncology Physician	$1.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Penn 123 LLC	LA	Substance Abuse Rehabilitation Facility	$0	$16.1M
David M. Vieth Dds, A Professional Corporation	LA	General Practice Dentistry	$0	$11.5M
Independence Emergency Group LLC	LA	Emergency Medicine Physician	$0	$11.5M
Atc Testing And Screening Services LLC	LA	Clinical Medical Laboratory	$9.7M	$11.3K
Jeffcare	LA	Federally Qualified Health Center (FQHC)	$0	$8M
C & M Medical Services, Inc.	LA	Emergency Medical Services (Emergency Medicine) Physician	$0	$7.2M
Harold R York Md	LA	Pediatrics Physician	$0	$6.8M
Gulf Coast Teaching Family Services, Inc.	LA	Community/Behavioral Health Agency	$0	$5.9M
Marillac Community Health Centers	LA	Federally Qualified Health Center (FQHC)	$0	$4.9M
Lei Behavioral Services LLC	LA	Community/Behavioral Health Agency	$0	$4.6M

Jared Smith — Billing Profile & Reimbursement Data

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Jared Smith — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References