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

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

Joanne Smith (NPI 1104821099)

Field	Value
Entity Type	Individual
Organization	Joanne Smith
Address	601 W Bypass
City	Andalusia
State	AL
ZIP	36420
Taxonomy	Family Medicine Physician
NPI Enumerated	June 16, 2005

Payer Source	Total Paid
Medicare	$133K
Medicaid	$0

Medicare: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	740	$70	$51.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	220	$60	$13.2K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	100	$70	$7.6K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	$120	$7K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	690	$10	$5.5K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	70	$70	$5.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	40	$120	$4.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	50	$90	$4.4K
G0181	Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and…	50	$80	$4.1K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	40	$90	$3.5K

Showing 1–10 of 30

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Joanne Smith — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

30 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	215	350	150	$70	$22.7K
99214	380	7,330	120	$80	$16.8K
99233	1,606	1,860	80	$90	$13.4K
99232	718	2,530	100	$60	$13.3K
G0439	841	1,520	70	$120	$11K
99310	123	140	50	$100	$8.9K
99223	999	2,140	40	$130	$8.1K
99306	91	120	50	$130	$8K
99213	3,709	6,470	80	$50	$7.9K
99305	68	130	40	$100	$6.3K

Showing 1–10 of 30

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Covington Pediatrics PA	AL	Pediatrics Physician	$0	$4.2M
Advanced E.m.s., Inc.	AL	Land Ambulance	$685K	$1.7M
Community Hospital Of Andalusia LLC	AL	General Acute Care Hospital	$0	$2.3M
Moore Emergency Group, LLC	AL	Emergency Medicine Physician	$0	$1.4M
Drs King And Burkhardt, P.C.	AL	Dentist	$0	$1.3M
Cosby & Cosby Counseling & Consultation LLC	AL	Clinical Psychologist	$0	$1.2M
Covington County Health Dept-andalusia Fp Clinic	AL	Public Health or Welfare Agency	$0	$1.1M
Covington Gynecology, P.C.	AL	Obstetrics & Gynecology Physician	$0	$1M
Andalusia Physician Practices LLC	AL	Family Medicine Physician	$0	$838.5K
Sadik Yesil	AL	Neurology Physician	$364.3K	$0

Joanne Smith — Billing Profile & Reimbursement Data

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Joanne 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