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

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

Sidney P Smith Md PC (NPI 1427039254)

Sidney P Smith Md PC is a dermatology physician provider located in Savannah, Georgia. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Sidney P Smith Md PC
Address	900 Mohawk St
City	Savannah
State	GA
ZIP	31419
Taxonomy	Dermatology Physician
NPI Enumerated	November 9, 2005

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	5,400	$70	$367K
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…	2,440	$100	$251.1K
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…	3,520	$50	$158.4K
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…	1,300	$70	$89.8K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	1,030	$70	$67.1K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	1,290	$50	$57.9K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	790	$50	$39.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	630	$30	$17.6K
11100	N/A	120	$60	$7.1K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	390	$10	$2.4K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Sidney P Smith Md PC — 2 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	206	920	370	$60	$360.6K
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…	108	820	390	$70	$245K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	144	360	370	$50	$153.6K
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…	45	310	90	$90	$136.3K
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…	11	230	100	$110	$97.1K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	2	10	1,290	$50	$47.7K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	2	10	110	$40	$46.3K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	18	120	100	$80	$34.4K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	142	150	210	$20	$18.9K
11100	N/A	2	10	330	$40	$13K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sidney Smith	GA	MOHS-Micrographic Surgery Physician	$1.6M	$6.1K
Richard Parker	GA	Family Medicine Physician	$528.8K	$0
David Capallo	GA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$417.5K	$0
Emma Laura Makatura	GA	Physician Assistant	$303.2K	$0
Christopher Anderson	GA	Dermatology Physician	$264.1K	$0
Taylor Byrne	GA	Family Nurse Practitioner	$197K	$0
Rebecca Darroudi	SC	Physician Assistant	$151.5K	$0
Karen Penrose	GA	Family Nurse Practitioner	$124.4K	$0
Jack Dupee	GA	Medical Physician Assistant	$94.7K	$0
William Stephens	SC	Physician Assistant	$83.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Ems LLC	GA	Land Ambulance	$440.3K	$0
Gary Elkin	GA	Interventional Cardiology Physician	$337.9K	$0
Jill Trumble	GA	Neurology Physician	$283.9K	$0
Daniel Cobb	GA	Clinical Cardiac Electrophysiology Physician	$282.3K	$0
Michael Babcock	GA	Cardiovascular Disease Physician	$278.4K	$0
William Wallace	GA	Interventional Cardiology Physician	$278.4K	$0
Ryan Moody	GA	Pulmonary Disease Physician	$276.6K	$0
Michael Chisner	GA	Clinical Cardiac Electrophysiology Physician	$265.1K	$0
Craig Schuring	GA	Critical Care Medicine (Internal Medicine) Physician	$186.1K	$0
Robert King	GA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$183.1K	$0

Sidney P Smith Md PC — Billing Profile & Reimbursement Data

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Sidney P Smith Md PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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