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

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

Tamara Smith (NPI 1376821157)

Field	Value
Entity Type	Individual
Organization	Tamara Smith
Address	4187 161st Ln Nw
City	Andover
State	MN
ZIP	55304
Taxonomy	Orthodontics and Dentofacial Orthopedics Dentistry
NPI Enumerated	July 28, 2011

Payer Source	Total Paid
Medicaid	$10.5M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8670	N/A	26,360	$180	$4.7M
D8080	N/A	6,950	$520	$3.6M
D0340	N/A	6,190	$80	$464.5K
D0330	N/A	8,110	$60	$446.1K
D8020	N/A	850	$520	$443.4K
D0350	N/A	7,510	$60	$435.8K
D0470	N/A	2,220	$70	$148.9K
D0150	Comprehensive oral evaluation – new or established patient	3,630	$40	$126.9K
D8999	N/A	30	$1,480	$48.7K
D0801	N/A	60	$0	$0

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.

Claims Volume vs. Minnesota Distribution

Tamara Smith — 6 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	3	80	1,220	$200	$930.7K
D8080	N/A	4	50	370	$380	$834.1K
D8020	N/A	1	10	200	$440	$123K
D0330	N/A	15	370	590	$60	$109K
D0340	N/A	3	50	220	$90	$98.1K
D0150	Comprehensive oral evaluation – new or established patient	49	370	530	$60	$91.1K
D0350	N/A	3	80	340	$60	$65.3K
D0470	N/A	5	40	200	$60	$64.6K
D8999	N/A	1	10	20	$1,580	$33.1K
D0801	N/A	1	10	60	$0	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$13M
Family Speech & Therapy Services, LLC	MN	Speech-Language Pathologist	$0	$12.7M
Milk Moms, Inc	MN	Durable Medical Equipment & Medical Supplies	$0	$10.8M
Accukare, Inc	MN	Home Health Agency	$0	$9.6M
Claire Saad	MN	Family Medicine Physician	$75K	$0
Paul Lysne	MN	Family Medicine Physician	$72.5K	$0
Joseph Wilkie	MN	Physician Assistant	$17.1K	$0
Jennifer Vlach	MN	Clinical Social Worker	$1.9K	$0

Tamara Smith — Billing Profile & Reimbursement Data

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Tamara Smith — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References