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

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

William Smith (NPI 1275606915)

Field	Value
Entity Type	Individual
Organization	William Smith
Address	7555 N Overfield Rd
City	Casa Grande
State	AZ
ZIP	85194
Taxonomy	Family Medicine Physician
NPI Enumerated	November 17, 2006

Payer Source	Total Paid
Medicare	$57.4K
Medicaid	$0

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
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…	470	$70	$35K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	180	$110	$20.4K
36410	In this procedure, the provider inserts a needle into a vein to withdraw blood or infuse a drug for a patient who is three years old or older.	160	$10	$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.

View: State1 / 2

Claims Volume vs. Arizona Distribution

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

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,535	10,410	120	$80	$20.6K
99215	462	3,270	50	$120	$11.9K
36410	4	10	90	$10	$3.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gila River Health Care Corporation	AZ	Ambulance	$0	$40M
Gila River Health Care Corporation	AZ	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.7M
Mark Barakat	AZ	Ophthalmology Physician	$3M	$0
Brian Holtan	AZ	Diagnostic Radiology Physician	$1.3M	$0
Michael Park	WA	Diagnostic Radiology Physician	$744.5K	$0
Clare Colombo	AZ	Diagnostic Radiology Physician	$731.3K	$0
Brett Skidmore	AZ	Diagnostic Radiology Physician	$676.3K	$0
Arvind Durvasan	AZ	Nephrology Physician	$639.3K	$8.9K
Angela Fried	AZ	Diagnostic Radiology Physician	$571.8K	$0
Franklin Danger	FL	Diagnostic Radiology Physician	$465.1K	$590

William Smith — Billing Profile & Reimbursement Data

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William 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