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

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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.

Jillian Smith (NPI 1215392774)

Field	Value
Entity Type	Individual
Organization	Jillian Smith
Address	4725 North Federal Highway
City	Fort Lauderdale
State	XX (Unspecified Location)
ZIP	33308
Taxonomy	Family Nurse Practitioner
NPI Enumerated	December 28, 2015

Payer Source	Total Paid
Medicare	$11.2K
Medicaid	$0

Key Findings

JILLIAN SMITH is effectively a Medicare-focused outpatient clinician: lifetime Medicare revenue totals $11.2K while there is no Medicaid billing on file, indicating a single-payer footprint in the available state datasets rather than a mixed Medicaid/Medicare practice. The absence of any Medicaid claims suggests this provider either does not accept Medicaid patients or does not bill Medicaid under this NPI.

Revenue for this provider is highly concentrated in three evaluation-and-management office visit codes: the precomputed top three Medicare codes account for 100.0% of total Medicare revenue, which signals a narrow service mix focused on office-based primary care encounters rather than procedures or ancillary services. This concentration implies the practice’s Medicare business is driven entirely by E/M visits rather than specialty or procedural revenue streams.

The largest single contributor is 99213, which generated $5.1K and represents 45.7% of the provider’s Medicare revenue. With 111 claims at an average paid amount of $46 per claim, the provider’s 99213 volume ranks #172163 of 457151 nationally (62th percentile), a position consistent with being a modest, typical-volume participant for routine established-patient visits rather than a high-volume outlier.

The second major code, 99214, produced $3.9K (34.8% of Medicare revenue) from 58 claims at $67 average paid/claim; nationally this provider ranks #320473 of 479517 (33th percentile) for 99214, indicating lower-than-average national volume on moderate-complexity established visits and reinforcing a profile of modest practice scale on higher-complexity E/M encounters.

New patient office visits billed as 99204 account for $2.2K and 19.5% of Medicare revenue, with 23 claims at $95 average paid/claim. The provider’s national rank of #144528 of 227068 for 99204 (34th percentile) places them in the lower-middle range of peers who bill for moderate-complexity new-patient visits, suggesting limited new-patient throughput relative to higher-volume clinicians.

From a competitive standpoint, the percentile ranks across the three primary codes (62th, 33th, and 34th percentiles) portray JILLIAN SMITH as a modest participant nationwide for these common office E/M services rather than a dominant regional or national player; the provider’s business impact within Medicare is small in absolute dollars ($11.2K lifetime revenue) and typical in code mix.

The provider has been an enumerated NPI since 2015-12-28 (approximately 11 years), indicating multi-year presence in the billing environment; despite this tenure, Medicare revenue remains low and concentrated, which may reflect part-time practice, a small patient panel, or limited Medicare patient access rather than a long-established high-volume practice.

Given the exclusively E/M code mix and absence of Medicaid billing, payers and network analysts should view this NPI as a low-revenue, office-visit–centric practitioner in Medicare claims data, with minimal footprint for Medicaid contracting or utilization analyses in the available state files.

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	110	$50	$5.1K
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…	60	$70	$3.9K
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…	20	$100	$2.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Jillian Smith — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	7	10	140	$60	$18.8K
99214	8	10	80	$90	$15.8K
99204	3	10	20	$120	$2.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Joseph's Hospital, Inc.	FL	General Acute Care Hospital	$0	$70.7M
Winter Haven Hospital Inc	FL	General Acute Care Hospital	$0	$26.3M
South Florida Baptist Hospital Inc	FL	General Acute Care Hospital	$0	$12.8M
Trustees Of Mease Hospital Inc	FL	General Acute Care Hospital	$0	$9.2M
Bartow Regional Medical Center, Inc.	FL	General Acute Care Hospital	$0	$9M
Holy Cross Hospital Inc	FL	General Acute Care Hospital	$0	$7.9M
Morton Plant Hospital Association Inc	FL	General Acute Care Hospital	$0	$7.3M
Julio Gonzalez-paoli	FL	Rheumatology Physician	$1.4M	$0
Bardmoor Surgery Center LLC	FL	Ambulatory Surgical Clinic/Center	$1.1M	$0
James Connors	FL	MOHS-Micrographic Surgery Physician	$735.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amzi Inc	FL	Nursing Care Agency	$0	$9.2M
Steven Licata	FL	Neuromusculoskeletal Medicine & OMM Physician	$5.6M	$0
Barry Taney	FL	Retina Specialist (Ophthalmology) Physician	$3M	$0
Darin Goldman	FL	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Lawrence Halperin	FL	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Ryan Shields	FL	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Robert Lalane	FL	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Mandeep Dhalla	FL	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Patrick Rubsamen	FL	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Scott Anagnoste	FL	Retina Specialist (Ophthalmology) Physician	$1.8M	$0

Jillian Smith — Billing Profile & Reimbursement Data

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Jillian Smith — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References