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

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

Steven Smith (NPI 1205812013)

Field	Value
Entity Type	Individual
Organization	Steven Smith
Address	900 Seton Dr
City	Cumberland
State	MD
ZIP	21502
Taxonomy	Pulmonary Disease Physician
NPI Enumerated	December 22, 2005

Payer Source	Total Paid
Medicare	$73.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 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…	620	$100	$61.2K
99204	The 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…	40	$130	$5.1K
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…	60	$70	$4.6K
99203	The 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	$2.1K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	50	$10	$500
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	130	$1	$130
J3300	Injection, triamcinolone acetonide, preservative free, 1 mg	20	$1	$60

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Steven Smith — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,294	10,270	150	$90	$24.1K
99213	5,763	9,280	100	$60	$12.5K
99204	2,716	5,380	40	$120	$7.3K
99203	2,519	3,630	40	$80	$5K
J3300	5	10	390	$1	$4.2K
96372	500	860	60	$10	$1.4K
J3301	449	770	200	$1	$420

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Upmc Western Maryland Corporation	MD	Radiology Clinic/Center	$917.4K	$7.3M
Yousuf Gaffar	CO	Hematology & Oncology Physician	$1.5M	$0
David Weng	MD	Medical Oncology Physician	$1.5M	$0
Naveed Shah	RI	Pulmonary Disease Physician	$1.4M	$0
Sumit Bhutani	MD	Infectious Disease Physician	$327.7K	$328.8K
Aman Dalal	AZ	Infectious Disease Physician	$653.6K	$0
Joshua Aaron	MD	Pulmonary Disease Physician	$443.6K	$44.6K
Jonathan Koff	MD	Gastroenterology Physician	$475.7K	$0
Sunil Gupta	MD	Internal Medicine Physician	$468.9K	$0
Abbas Omais	MD	Pulmonary Disease Physician	$454.3K	$9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Archway Station Inc	MD	Rehabilitation Psychologist	$0	$18.5M
Board Of Education Of Allegany County	MD	Audiologist	$0	$17.2M
Associated Catholic Charities	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$17M
Allegany County Health Department/joseph S Massie Unit	MD	Substance Abuse Rehabilitation Facility	$0	$16.3M
Committed To Change, P.C.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.3M
Ats Of Cecil County, Inc.	MD	Methadone Clinic	$0	$11.9M
Committed To Change, P.C.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.2M
Wmrs Inc	MD	Methadone Clinic	$230.8K	$9M
Cumberland Covenant House LLC	MD	Adult Day Care Clinic/Center	$0	$8.2M
Allegany County Health Department	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.6M

Steven Smith — Billing Profile & Reimbursement Data

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Steven 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