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

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

Diana Smith (NPI 1194930917)

Field	Value
Entity Type	Individual
Organization	Diana Smith
Address	78 Medical Center Dr
City	Fishersville
State	VA
ZIP	22939
Taxonomy	Psychiatry Physician
NPI Enumerated	May 14, 2007

Payer Source	Total Paid
Medicare	$5.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0427	Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth	20	$150	$3.4K
G0426	Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth	20	$100	$2.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Diana Smith — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0426	10	10	40	$100	$6.9K
G0427	9	10	40	$150	$6.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Lester E Cox Medical Centers	MO	General Practice Physician	$0	$9.2M
Ottumwa Health Group LLC	IA	Gynecology Physician	$0	$2.2M
Ottumwa Health Group LLC	IA	Rural Health Clinic/Center	$0	$1.2M
Uhs Midwest Behavioral Health LLC	IA	Psychiatry Physician	$0	$979.3K
Aneley Hundae	FL	Cardiovascular Disease Physician	$604.9K	$0
St. Mary's Hospital Inc	ID	Family Medicine Physician	$0	$581K
Clearwater Valley Hospital & Clinics Inc.	ID	Family Medicine Physician	$0	$484.4K
Jonathon Hennings	IA	Nurse Practitioner	$483.7K	$0
Sheena Henry	ID	Rheumatology Physician	$466.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Augusta Health Care, Inc	VA	General Acute Care Hospital	$0	$63.6M
Augusta Medical Group	VA	General Practice Physician	$0	$12.6M
Shenandoah Emergency Medicine Specialists LLC	VA	Emergency Medicine Physician	$0	$7.5M
Shil Patel	VA	Ophthalmology Physician	$6.1M	$0
Ashley Blurton	VA	Nuclear Medicine Physician	$2.9M	$0
Yevgeniy Shildkrot	VA	Ophthalmology Physician	$1.5M	$0
Blue Ridge Pathologists PC	VA	Anatomic Pathology Physician	$224.6K	$1.2M
James Tiedeman	VA	Ophthalmology Physician	$782.7K	$0
William Jones	VA	Urology Physician	$468.4K	$0
David Barnes	VA	Specialist	$405.8K	$150

Diana Smith — Billing Profile & Reimbursement Data

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Diana 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