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

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

Lawrence Smith (NPI 1205890092)

Field	Value
Entity Type	Individual
Organization	Lawrence Smith
Address	1201 E 36th Ave
City	Anchorage
State	AK
ZIP	99508
Taxonomy	Family Medicine Physician
NPI Enumerated	April 17, 2006

Payer Source	Total Paid
Medicare	$40.4K
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…	180	$110	$19.8K
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…	170	$80	$13.2K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	10	$230	$2.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$80	$2.8K
90480	The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.	20	$50	$940
G0009	Administration of pneumococcal vaccine	10	$40	$550
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	20	$20	$340

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. Alaska Distribution

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

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	347	1,210	90	$100	$16.2K
99232	206	280	80	$80	$14K
90677	71	80	30	$270	$10.1K
99213	286	1,290	70	$70	$8.5K
90480	47	60	90	$20	$7.7K
G0009	70	80	30	$30	$1.3K
99211	58	80	30	$20	$740

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services - Washington	AK	Psychiatry Physician	$0	$12.7M
Providence Health & Services- Washington	AK	Critical Care Medicine (Internal Medicine) Physician	$0	$10.6M
Providence Health & Services Washington	AK	General Acute Care Hospital	$0	$2.8M
Nadine Baker	AK	Psychologist	$523.2K	$0
Lina Bautista	AK	Child & Adolescent Psychiatry Physician	$0	$495K
Kwanghee Kim	AK	Internal Medicine Physician	$405K	$0
Monica Wright	AK	Family Medicine Physician	$288.7K	$0
Nicholas Van Lith	AK	Family Medicine Physician	$257K	$0
Cynthia Mcginty	AK	Nurse Practitioner	$247.9K	$0
Daniel Tieva	AK	Family Medicine Physician	$240.5K	$0

Lawrence Smith — Billing Profile & Reimbursement Data

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Lawrence 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