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 U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands 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. U.S. Virgin Islands (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.

Joseph Smolarz (NPI 1114965373)

Field	Value
Entity Type	Individual
Organization	Joseph Smolarz
Address	9149 Estate Thomas Ste 308
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Specialist
NPI Enumerated	June 2, 2006

Payer Source	Total Paid
Medicare	$69.5K
Medicaid	$0

Key Findings

This provider’s entire reported public-payer activity is concentrated in Medicare: Total Medicare revenue is $69.5K and Total Medicaid revenue is none (no Medicaid billing on file). That makes this an effectively single-payer Medicare profile for available claims, exposing the practice to Medicare reimbursement patterns rather than a blended payer mix.

Revenue is heavily concentrated in a very small set of codes: the precomputed top 3 Medicare codes (99213, 31575, 99203) account for 57.9% of this provider’s total Medicare revenue. The single largest line is 99213 with $21.4K (30.8% of Medicare revenue), followed by 31575 with $10.2K (14.7%) and 99203 with $8.6K (12.4%), indicating a narrow set of services drives most billing.

The code mix points to an otolaryngology/ENT outpatient practice with ancillary diagnostic services: 31575 (flexible laryngoscopy) and 31231 (nasal endoscopy) appear alongside auditory and respiratory diagnostics such as 92557 (hearing tests), 92512 (nasal airflow testing), 95810 (polysomnography), and 94660 (CPAP initiation). The presence of 86003 and 82785 (IgE and related lab testing) and repeated office E/M codes (99213, 99203) suggests the practice pairs clinic visits with in-office allergy and audiology testing.

Competitive standing is mixed by code: for core office-visit codes the provider ranks at high national percentiles but is characterized as typical in volume. For example, 99213 is ranked #45311 of 457151 providers (90th percentile; typical, unremarkable volume) while 99203 is ranked #10807 of 161519 providers (93th percentile; notably above typical national volume), and 31575 is #1024 of 7800 providers (87th percentile; typical, unremarkable volume). These positions mean the provider is more visible than many peers on certain office-visit and laryngoscopy services, even though overall Medicare revenue is modest.

Some procedure and diagnostic lines produce a meaningful share of revenue but are low-ranked versus national peers, indicating local emphasis rather than national prominence. Notably, 95810 (polysomnography) contributes $6.9K (10.0% of Medicare revenue) yet ranks #2999 of 3514 providers (12th percentile; typical, unremarkable volume), and 31231 yields $2.9K (4.1%) while ranking #5043 of 6206 (17th percentile; typical, unremarkable volume). These low percentiles alongside nontrivial revenue shares suggest these services are important to the practice’s mix but not areas of national competitive strength.

Operational throughput signals a steady volume of low-acuity outpatient visits combined with higher-count lab/technical testing. The practice submitted 363 claims for 99213 ($59 avg paid/claim) and 614 claims for 86003 ($5 avg paid/claim), indicating routine established-patient visits plus frequent allergen-specific testing throughput; these claim counts imply a clinic workflow oriented to repeated short encounters and in-office diagnostics.

The provider has long-standing Medicare enrollment, with NPI enumerated 2006-06-02 (~20 years ago), which indicates an established billing presence even though lifetime Medicare revenue is relatively small at $69.5K. Long tenure combined with modest lifetime revenue suggests a small practice scale, a limited Medicare panel, or part-time Medicare billing activity rather than a recent entrant.

The complete absence of Medicaid billing on file (none below) is a material characteristic of this profile and affects payer risk and access considerations: the provider either does not serve Medicaid patients, does not bill Medicaid, or Medicaid activity is not captured in the available data. For payer or network analysts, this means Medicaid population coverage and state-level Medicaid contracting are likely not relevant levers for expanding this provider’s public-payer volume based on current records.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	360	$60	$21.4K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	120	$90	$10.2K
99203	The provider sees a new 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 provider…	140	$60	$8.6K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	20	$460	$6.9K
83013	The lab analyst tests multiple breath samples for the presence of an isotope that indicates the presence of the H. pylori bacteria. This organism can cause irritation and ulcers of the stomach lining.	80	$60	$4.8K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	140	$30	$3.5K
86003	The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or…	610	$10	$3.1K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	20	$140	$2.9K
92512	The provider uses this diagnostic test to evaluate the respiratory function of the nose by measuring the airflow during inhalation and exhalation as well as the air pressure in the nose.	40	$50	$1.8K
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…	10	$120	$1.3K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

Joseph Smolarz — 3 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — U.S. Virgin Islands

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	67	80	100	$80	$15.5K
95810	3	10	20	$460	$12.1K
31575	1	10	80	$90	$8.1K
99213	7	80	100	$50	$7.6K
83013	1	10	70	$60	$4.4K
99204	34	40	40	$100	$4.4K
86003	2	10	790	$1	$3.9K
99203	2	30	50	$60	$3.8K
31231	3	10	20	$140	$3.5K
36415	27	30	100	$10	$3.2K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vi Government Hospital And Health Facilities Corp	VI	General Acute Care Hospital	$0	$23.6M
Virgin Islands Ear Nose And Throat PC	VI	Specialist	$0	$1.1M
Kevin Stewart	VI	Ophthalmology Physician	$469.5K	$0
Walter Rohloff	VI	Nephrology Physician	$85.2K	$100.3K
Leslie Kingslow	DC	Pulmonary Disease Physician	$176.8K	$0
James Gasho	MD	Orthopaedic Surgery Physician	$172.1K	$0
Reva Richardson	VI	Internal Medicine Physician	$154.4K	$0
James Nelson	VI	Neurology Physician	$143.2K	$0
Jeanette Dilan-koetje	MO	Internal Medicine Physician	$133.6K	$0
David Weisher	VI	Medical Specialty Clinic/Center	$103.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duanne Jones	VI	Public Health Dentistry	$0	$33.2M
The St Thomas East End Medical Center Corporation	VI	Federal Public Health Clinic/Center	$0	$12.8M
Aac-air Ambulance Caribbean Inc.	VI	Air Ambulance	$2M	$8.6M
Vi Relocation Services And Rentals LLC	VI	Land Ambulance	$0	$6.8M
Alicia Prentice	VI	Home Health Aide	$0	$3.9M
Stretcher Plus, LLC	VI	Non-emergency Medical Transport (VAN)	$0	$2.8M
Cog Restore, LLC	VI	Rehabilitation Clinic/Center	$0	$2.1M
Dept Of Health, Govt Of Vi Ems St Thomas	VI	Land Ambulance	$0	$1.5M
Vi Oral Surgery, Inc	VI	Oral and Maxillofacial Surgery (Dentist)	$0	$1.4M
Department Of Health	VI	Ambulatory Family Planning Facility	$0	$1.3M

Joseph Smolarz — 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