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    Ryan Smith — Billing Profile & Reimbursement Data

    NPI 1124556923 · Iowa City, IA · Otolaryngology Physician

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    Ryan Smith is a otolaryngology physician provider located in Iowa City, Iowa. This profile covers 9 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRyan Smith
    Address200 Hawkins Dr.
    CityIowa City
    StateIA
    ZIP52242
    TaxonomyOtolaryngology Physician
    NPI EnumeratedMay 24, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$81.6K
    Medicare$65.2K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.130$160$21K
    99214The 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…180$100$18.6K
    99204The 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…110$130$14.7K
    31238In this procedure, the provider inserts an endoscope into the nasal cavity. The provider then uses bipolar cautery or other means to control bleeding.20$220$4.1K
    31575The 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.20$100$2.5K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.60$30$1.9K
    99203The 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…20$90$1.8K
    92504In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…20$20$410
    69209The provider flushes or washes (irrigation/lavage) out the entrapped wax (cerumen) from a patient’s external ear canal with a stream of water to correct hearing loss or discomfort.20$10$220

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,6254,690100$70$14.4K
    3123187040$110$6.7K
    992041591,87030$100$5K
    31575699050$80$4.7K
    992031,0591,60030$60$3.2K
    3123811020$190$3.1K
    692106320030$30$1.9K
    92504496040$20$1K
    69209137010$10$160

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99204The 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…400$80$32.2K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.400$80$30K
    99214The 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…270$70$19.4K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Iowa median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The 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…6371,060480$40$154.5K
    99204The 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…72250110$80$47.1K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.51080$70$29.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ayman RawdaILPediatrics Physician$0$15M
    Ankit DesaiILRetina Specialist (Ophthalmology) Physician$1.7M$119.2K
    Renato GoreshiINMOHS-Micrographic Surgery Physician$1.6M$870
    Vassilios DimitropoulosINDermatology Physician$1.1M$293.6K
    Cory ConniffILRheumatology Physician$1.2M$0
    Steven MutchnikILUrology Physician$982K$17.5K
    Umang PatelILInternal Medicine Physician$417.1K$575.6K
    Maxim PolanskyILMOHS-Micrographic Surgery Physician$984.1K$0
    Ram RamaniILInfectious Disease Physician$561.1K$332.4K
    Maria FrancisILRheumatology Physician$853.4K$5.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    State University Of IowaIAFamily Medicine Physician$0$103.8M
    State University Of IowaIAGeneral Acute Care Hospital$0$90.4M
    State University Of IowaIADentist$0$25.8M
    State University Of IowaIADentist$0$5.6M
    State University Of IowaIAPsychologist$0$4.6M
    Annalee FenclIAStudent in an Organized Health Care Education/Training Program$0$2.5M
    Brandon SymeIAGeneral Practice Dentistry$0$1.3M
    Lorna GrantIAOphthalmology Physician$1.2M$0
    State University Of IowaIAClinical Medical Laboratory$163K$338.8K
    Tyler RismaIAOphthalmology Physician$423.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Iowa Distribution
    Ryan Smith — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa
    Medicaid Revenue by Year vs. Iowa Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Ryan Smith — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa