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

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

Steven Smith (NPI 1376804369)

Field	Value
Entity Type	Individual
Organization	Steven Smith
Address	2430 5th St N
City	Columbus
State	MS
ZIP	39705
Taxonomy	Otolaryngology Physician
NPI Enumerated	June 6, 2012

Payer Source	Total Paid
Medicare	$94.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

17 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…	440	$60	$25.7K
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…	140	$90	$12.6K
99203	The provider sees a new 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 provider…	170	$70	$11.5K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	90	$90	$7.9K
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…	70	$110	$7.5K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	50	$130	$6.6K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	540	$10	$5.4K
31237	In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.	20	$190	$3.5K
70486	The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam.	30	$90	$3.1K
95024	The provider introduces allergenic extracts into the skin to determine if the patient has an immediate allergic response, interprets the results and writes a report specifying the number of tests.	430	$10	$2.2K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Mississippi Distribution

Steven Smith — 0 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,200	4,110	170	$70	$21.9K
95165	25	40	950	$10	$15.6K
99213	456	4,000	100	$50	$10.3K
31231	21	40	50	$120	$8.5K
31237	12	20	30	$230	$8.4K
31575	24	60	70	$80	$7K
99204	598	2,150	40	$100	$5.8K
95004	23	30	1,560	$1	$4.7K
92557	65	70	130	$20	$4.2K
99203	86	1,480	30	$60	$3.5K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alison Harris	MS	Nurse Practitioner	$122.7K	$0
Justin Garner	MS	Otolaryngology Physician	$122.5K	$0
Robert Borden	MS	Otolaryngology Physician	$102.9K	$0
Michele Henry	MS	Audiologist	$15.3K	$0
Brandi Davis	MS	Audiologist	$7.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Memorial Hospital - Golden Triangle Inc.	MS	General Acute Care Hospital	$0	$55.8M
Pediatrust Columbus, LLC	MS	Pediatric Skilled Nursing Facility	$0	$12M
United Emergency Services Of Mississippi	MS	Emergency Medicine Physician	$0	$7.8M
Columbus Orthopedic Outpatient	MS	Ambulatory Surgical Clinic/Center	$2.5M	$158K
David Curtis	MS	Pediatric Dentistry	$0	$2.6M
Rcg Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.1M
Katie Curtis Windham Dmd PLLC	MS	Pediatric Dentistry	$0	$2M
Eye Laser & Surgery Center Of Columbus, LLC	MS	Ambulatory Surgical Clinic/Center	$1.5M	$293.8K
Oral & Facial Surgical Center	MS	Oral and Maxillofacial Surgery (Dentist)	$0	$1.6M
Rcg Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M

Steven 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

Nearby Providers

Frequently Asked Questions

References