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.

Peter Smith (NPI 1326018193)

Field	Value
Entity Type	Individual
Organization	Peter Smith
Address	1304 W Bobo Newsom Hwy
City	Hartsville
State	SC
ZIP	29550
Taxonomy	Anesthesiology Physician
NPI Enumerated	January 25, 2006

Payer Source	Total Paid
Medicare	$48.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
01402	The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.	70	$110	$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…	120	$50	$6.4K
00670	The provider performs anesthesia services for a patient undergoing an extensive spine and spinal cord procedures including spinal instrumentation, where the provider implants plates and screws into…	30	$240	$5.9K
00790	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.	20	$150	$3K
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…	60	$50	$2.9K
00918	The provider performs anesthesia services for a patient undergoing fragmentation, manipulation, and/or removal of a ureteral calculus. The surgical provider accesses the ureter through the urethra,…	40	$70	$2.9K
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…	40	$70	$2.7K
00914	The provider performs anesthesia services for a patient undergoing removal of the prostate gland through the urethra, which is the opening for the outflow of urine.	40	$70	$2.7K
01214	The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.	20	$100	$2.5K
00830	The provider performs anesthesia services for a patient undergoing hernia repairs in the lower abdomen. This code refers to procedures that are not specified by any other anesthesia code.	20	$90	$1.6K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Peter Smith — 4 of 19 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

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00670	30	160	20	$240	$4.8K
01402	4	380	20	$140	$3.3K
00811	254	740	20	$70	$3.2K
00813	78	370	20	$90	$2.6K
00812	20	410	20	$70	$2.6K
00731	131	850	20	$70	$2.6K
01214	29	170	20	$140	$2.6K
00790	31	240	10	$140	$2.2K
00873	16	30	20	$80	$1.7K
01230	29	40	10	$120	$1.6K

Showing 1–10 of 19

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hartsville, LLC	SC	General Acute Care Hospital	$0	$18.4M
Caresouth Carolina, Inc.	SC	Federally Qualified Health Center (FQHC)	$0	$12.4M
App Of South Carolina Ed PLLC	SC	Emergency Medicine Physician	$0	$11M
Darlington County Disabilities And Special Needs Board	SC	Case Management Agency	$0	$9.7M
Morphis Pediatric Group	SC	Pediatrics Physician	$0	$8M
Childrens Group PC	SC	Pediatrics Physician	$0	$7.1M
Caring Hearts Pediatrics	SC	Specialist	$0	$5.5M
Therapeutic Designs And Services	SC	Occupational Therapist	$0	$5.1M
Hartsville Medical Group LLC	SC	Internal Medicine Physician	$0	$4.2M
Black Creek Medical Consultants, LLC	SC	Sleep Medicine (Otolaryngology) Physician	$0	$2.9M

Peter Smith — Billing Profile & Reimbursement Data

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Peter 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

Nearby Providers

Frequently Asked Questions

References