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.

Susan Smith (NPI 1154441251)

Field	Value
Entity Type	Individual
Organization	Susan Smith
Address	180 North 5th Street
City	Ponchatoula
State	LA
ZIP	70454
Taxonomy	Nurse Practitioner
NPI Enumerated	March 30, 2007

Payer Source	Total Paid
Medicare	$138K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 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…	430	$70	$30.1K
J7308	Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)	90	$300	$28K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	260	$60	$16.3K
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…	300	$50	$15.1K
96574	This code is used to report removal of hyperkeratotic (hardened, dry, scaly) skin lesions that appear precancerous followed by photodynamic therapy that exposes a lesion treated with a…	90	$160	$14.5K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	230	$50	$10.1K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	380	$30	$10K
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	1,190	$1	$4.7K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	40	$90	$3.3K
11103	The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…	90	$30	$2.8K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Susan Smith — 0 of 13 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

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	898	6,670	110	$80	$16.5K
J7308	4	30	20	$300	$13K
17004	69	120	40	$110	$11.2K
96574	3	10	20	$190	$10.1K
17110	40	240	80	$70	$10K
17000	56	270	150	$30	$9.1K
99213	817	6,060	70	$50	$8.1K
11102	36	230	90	$60	$7.8K
17003	57	240	540	$1	$4.4K
99203	708	2,100	30	$70	$3K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicholas Frank	LA	MOHS-Micrographic Surgery Physician	$237.4K	$4.2K
Emily Powell	UT	MOHS-Micrographic Surgery Physician	$238.2K	$0
Falon Brown	LA	Dermatology Physician	$137.3K	$0
Ashley Hotard	LA	Physician Assistant	$62.8K	$0
April Sanchez	LA	Dermatology Physician	$53.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parishes Supportive Living	LA	Home Health Agency	$0	$8.9M
Gregory Allen	LA	Family Medicine Physician	$156.9K	$0
Steve Gaudin	LA	Family Medicine Physician	$94.8K	$0
Roger Smith	LA	Social Worker	$52.9K	$0

Susan Smith — Billing Profile & Reimbursement Data

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Susan 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

Related Providers

Nearby Providers

Frequently Asked Questions

References