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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Andrew Smith (NPI 1295171734)

Field	Value
Entity Type	Individual
Organization	Andrew Smith
Address	146 E Hospital Dr Ste 120a
City	West Columbia
State	SC
ZIP	29169
Taxonomy	Psychiatry Physician
NPI Enumerated	May 10, 2013

Payer Source	Total Paid
Medicare	$25.6K
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
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	180	$130	$23.7K
G0425	Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth	20	$60	$1.2K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$40	$590

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. South Carolina Distribution

Andrew Smith — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90792	5	150	20	$120	$4.7K
G0425	6	10	40	$70	$4.3K
99231	575	850	40	$40	$3.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parkview Hospital, Inc.	IN	General Acute Care Hospital	$0	$92.8M
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
United Hospital Center, Inc	WV	General Acute Care Hospital	$0	$63.3M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Park Center, Inc.	IN	Community/Behavioral Health Agency	$0	$49.9M
Ascension Medical Group-southeast Wisconsin Inc	WI	Internal Medicine Physician	$0	$44.8M
St Josephs Hospital Of Buckhannon Inc	WV	Critical Access Hospital	$0	$41.8M
Henry Ford Macomb Hospital Corporation	MI	General Acute Care Hospital	$0	$40.9M
New York Queens Medicine And Surgery, P.C.	NY	Pediatrics Physician	$0	$40.8M
Adena Medical Group LLC	OH	Family Medicine Physician	$0	$39.9M

Andrew Smith — Billing Profile & Reimbursement Data

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Andrew 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