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

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

Kerry Smith (NPI 1407322191)

Field	Value
Entity Type	Individual
Organization	Kerry Smith
Address	9425 Mission Rd
City	Leawood
State	KS
ZIP	66206
Taxonomy	Physical Therapist
NPI Enumerated	October 19, 2018

Payer Source	Total Paid
Medicare	$81.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97116	The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…	1,570	$20	$25.1K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	1,120	$20	$24.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	1,170	$20	$18.7K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	540	$20	$10.8K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	30	$80	$2.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kansas Distribution

Kerry Smith — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	87	650	390	$20	$14K
97110	167	740	560	$20	$13.3K
97112	151	600	290	$20	$8.1K
97116	4	100	110	$20	$5K
97162	209	400	30	$70	$2.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Karen Lafreniere	KS	Physical Therapist	$157.9K	$0
Keri Mogenson	KS	Occupational Therapist	$152.5K	$0
Janice Bacon	KS	Occupational Therapist	$79.2K	$0
Shweta Shah	KS	Physical Therapist	$69.3K	$0
Heidi Bertoncin	MO	Occupational Therapist	$48.6K	$0
Dawn Albers	KS	Speech-Language Pathologist	$24.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kansas Carenow Urgent Care LLC	KS	Urgent Care Clinic/Center	$0	$2.6M
Daniel Geha	KS	Specialist	$237.7K	$0
Stany Dsilva	KS	Internal Medicine Physician	$208.4K	$0
Christopher Geha	KS	Internal Medicine Physician	$110.5K	$0
Kansas Cvs Pharmacy LLC	KS	Pharmacy	$83.8K	$0
Krista Hiestand	KS	Speech-Language Pathologist	$81.6K	$0
Umar Wadood	KS	Psychiatry Physician	$48.9K	$0
Carson Williams	KS	Plastic and Reconstructive Surgery Physician	$41.7K	$0

Kerry Smith — Billing Profile & Reimbursement Data

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Kerry 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