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

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

Sheila Smitherman (NPI 1417123779)

Field	Value
Entity Type	Individual
Organization	Sheila Smitherman
Address	3909 9th Ave Sw
City	Olympia
State	WA
ZIP	98502
Taxonomy	Neurological Surgery Physician
NPI Enumerated	May 6, 2008

Payer Source	Total Paid
Medicare	$44.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
63047	The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…	10	$700	$9.1K
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…	80	$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…	60	$120	$7.8K
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…	60	$80	$4.6K
72084	In this diagnostic procedure, the provider takes a minimum six X–ray images of the entire thoracic (upper and middle) and lumbar (lower) spine from different projections (directions or angles) to…	50	$80	$4K
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…	50	$70	$3.8K
22853	The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…	20	$200	$3.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	20	$130	$2K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	10	$160	$1.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Sheila Smitherman — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63047	111	130	20	$640	$16K
99214	5,857	10,860	100	$80	$13.6K
99215	3,737	4,320	40	$120	$8.4K
99213	5,266	9,690	60	$60	$6.5K
99205	1,725	1,820	30	$150	$5.4K
99204	1,063	4,750	30	$110	$5.2K
72084	6	10	50	$60	$5.1K
22853	89	100	30	$130	$4.8K
99203	708	3,140	30	$70	$3.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Olympia Orthopaedic Associates PLLC	WA	Ambulatory Surgical Clinic/Center	$6M	$6.8M
Country Roads Physical Therapy And Rehabilitation	WV	Physical Therapist	$0	$3M
Ryan Halpin	WA	Neurological Surgery Physician	$756.1K	$0
Douglas Taylor	WA	Pain Medicine (Anesthesiology) Physician	$514.3K	$0
Andrew Manista	WA	Orthopaedic Surgery Physician	$454.4K	$0
Zachary Abbott	WA	Interventional Pain Medicine Physician	$452.6K	$0
Peter Wood	WA	Orthopaedic Surgery Physician	$386.5K	$0
Thomas Helpenstell	WA	Orthopaedic Foot and Ankle Surgery Physician	$301.8K	$0
Robert Mckay	WA	Specialist	$246.6K	$0
Gregory Byrd	WA	Orthopaedic Hand Surgery Physician	$241.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Multicare Health System	WA	General Acute Care Hospital	$0	$17M
Northwest Resources Ii	WA	Addiction (Substance Use Disorder) Counselor	$0	$15.4M
Capital Anesthesia, LLC	WA	Certified Registered Nurse Anesthetist	$0	$15.2M
Pathways Mental Health Services	WA	Mental Health Counselor	$0	$3.1M
Joseph Ye	WA	Medical Oncology Physician	$2.5M	$0
Susanne Carmack	WA	Anatomic Pathology & Clinical Pathology Physician	$1.8M	$0
Linli Xuan	WA	Hematology & Oncology Physician	$1M	$0
Olympia Multi-specialty Clinic Ambulatory Procedures Cntr PLLC	WA	Ambulatory Surgical Clinic/Center	$917.6K	$90.6K
Min Kang	WA	Hematology & Oncology Physician	$687.5K	$0
Jacob Bauer	WA	MOHS-Micrographic Surgery Physician	$635.9K	$0

Sheila Smitherman — Billing Profile & Reimbursement Data

Sign up for Sheila Smitherman — Billing Profile & Reimbursement Data policy alerts

Sheila Smitherman — Billing Profile & Reimbursement Data

Sign up for Sheila Smitherman — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References