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.

Alan Smith (NPI 1265571954)

Field	Value
Entity Type	Individual
Organization	Alan Smith
Address	1906 Belleview Ave Se
City	Roanoke
State	VA
ZIP	24014
Taxonomy	Anesthesiology Physician
NPI Enumerated	February 6, 2007

Payer Source	Total Paid
Medicare	$14.5K
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
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	50	$110	$5.1K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	50	$100	$4.8K
00812	The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…	20	$100	$2.3K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	20	$120	$1.9K
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	10	$40	$390

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. Virginia Distribution

Alan Smith — 0 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00812	14	650	20	$80	$3.3K
00811	5	1,120	30	$70	$2.9K
00731	5	1,220	20	$80	$2.3K
00813	14	600	20	$90	$2K
36620	10	260	20	$30	$860

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Francisco Rodriguez	FL	Medical Oncology Physician	$2.7M	$0
Jonathan Busbee	GA	Internal Medicine Physician	$266.2K	$1.6M
James Stafford	TX	Radiation Oncology Physician	$1.5M	$0
West Park Hospital District	WY	Critical Access Hospital	$0	$950.8K
West Park Hospital District	WY	Multi-Specialty Clinic/Center	$0	$726.1K
Eric Carlson	MO	Medical Oncology Physician	$579.8K	$0
Sujoy Gill	VA	Pulmonary Disease Physician	$564.5K	$0
William Nicholas	MO	Interventional Cardiology Physician	$518.5K	$0
Skyler Greene	NV	Diagnostic Radiology Physician	$488.5K	$3.5K
Jane Seto	MO	Diagnostic Radiology Physician	$468.6K	$890

Alan Smith — Billing Profile & Reimbursement Data

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Alan 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