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

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

David Smith (NPI 1194272245)

Field	Value
Entity Type	Individual
Organization	David Smith
Address	280 River Park Dr Ste 200
City	Provo
State	UT
ZIP	84604
Taxonomy	Physician Assistant
NPI Enumerated	September 7, 2016

Payer Source	Total Paid
Medicare	$7.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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	$60	$3K
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	20	$90	$1.7K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	20	$80	$1.2K
99491	The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…	20	$60	$1K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	20	$30	$680

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

David Smith — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99349	101	110	90	$80	$15K
G0181	15	20	60	$70	$12.6K
99457	33	30	130	$30	$11.7K
99491	5	10	40	$50	$5.5K
99344	24	40	20	$80	$2.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
After Hours Medical LLC	UT	Urgent Care Clinic/Center	$0	$3.2M
Tooele Clinic Corp	UT	Family Medicine Physician	$0	$1.3M
Eric Miller	FL	Internal Medicine Physician	$793.9K	$17.8K
Spencer Clark	UT	Physical Therapist	$494K	$13.7K
J Riley Stringham	UT	Interventional Pain Medicine Physician	$298.3K	$26.4K
Colby Groneman	UT	Occupational Therapist	$316.6K	$0
Matthew Sanders	UT	Pain Medicine (Anesthesiology) Physician	$237.4K	$2.2K
Ashley Donaldson	UT	Pain Medicine (Anesthesiology) Physician	$210K	$13.5K
Jeremy Joyal	UT	Pain Medicine (Anesthesiology) Physician	$179.5K	$3.4K
James Mcintyre	UT	Sports Medicine (Family Medicine) Physician	$112.6K	$0

David Smith — Billing Profile & Reimbursement Data

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David 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

Frequently Asked Questions

References