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

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

Paul Smyser (NPI 1144727256)

Field	Value
Entity Type	Individual
Organization	Paul Smyser
Address	4755 Ogletown Stanton Rd
City	Newark
State	DE
ZIP	19718
Taxonomy	Emergency Medicine Physician
NPI Enumerated	April 6, 2018

Payer Source	Total Paid
Medicare	$160.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	700	$140	$101.4K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	230	$180	$41.4K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	180	$100	$17.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Paul Smyser — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	2	220	210	$140	$33K
99291	10	240	40	$170	$10.9K
99284	26	230	90	$90	$9.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Medicine Associates P.A., P.C.	VA	Emergency Medicine Physician	$0	$85.6M
Naveed Shah	RI	Pulmonary Disease Physician	$1.4M	$0
Laeeq Butt	VA	Internal Medicine Physician	$942.5K	$0
Arvind Narasimhan	MD	Emergency Medicine Physician	$461.7K	$0
Michael Tolino	MD	Pulmonary Disease Physician	$373.5K	$0
Alemeshet Gudeta	MD	Internal Medicine Physician	$296.1K	$0
Michele Irons	VA	Internal Medicine Physician	$289.9K	$0
Robert Loya	MD	Medical Physician Assistant	$234.6K	$0
Srilatha Kanumuru	MD	Internal Medicine Physician	$223.3K	$0
Linz Audain	VA	Internal Medicine Physician	$200.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Doctors For Emergency Service	DE	Emergency Medicine Physician	$0	$20.2M
Christiana Care Health Services Inc	DE	Obstetrics & Gynecology Physician	$0	$9.9M
Christiana Care Emergency Physicians LLC	DE	Emergency Medicine Physician	$0	$2.8M
Christiana Care Health Services Inc	DE	Pediatrics Physician	$0	$1.9M
Christiana Care Health Services Inc	DE	Gastroenterology Physician	$0	$852.9K
Neil Gambill	DE	Diagnostic Radiology Physician	$735.4K	$0
Christiana Care Health Services, Inc	DE	Hospice and Palliative Medicine (Internal Medicine) Physician	$0	$578K
Kevin Copeland	DE	Internal Medicine Physician	$522.3K	$0
Delaware Clinical & Laboratory Physicians, PA	DE	Anatomic Pathology & Clinical Pathology Physician	$0	$520.7K
Jacqueline Holt	DE	Diagnostic Radiology Physician	$447.7K	$0

Paul Smyser — Billing Profile & Reimbursement Data

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Paul Smyser — 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