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

Why is the Medicaid comparison limited to New York 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. New York (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.

Roy Smetana (NPI 1437476488)

Field	Value
Entity Type	Individual
Organization	Roy Smetana
Address	21 Bloomingdale Rd
City	White Plains
State	NY
ZIP	10605
Taxonomy	Psychiatry Physician
NPI Enumerated	April 30, 2010

Payer Source	Total Paid
Medicare	$32.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90870	The provider applies an electric current to the patient's brain for the purpose of producing a seizure or series of seizures to alleviate symptoms of various mental disorders.	290	$90	$26.6K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	120	$50	$5.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Roy Smetana — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90870	4	30	150	$90	$14.9K
99231	510	3,700	40	$40	$3.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Byram Healthcare Centers, Inc.	NY	Durable Medical Equipment & Medical Supplies	$0	$106.3M
The Mental Health Association Of Westchester County, Inc.	NY	Community/Behavioral Health Agency	$0	$27.6M
Julia Dyckman Andrus Memorial, Inc.	NY	Community/Behavioral Health Agency	$0	$24.4M
Jeffrey Sugar	NY	Allergy Physician	$202.7K	$1M
Massimo Pulvirenti	NY	Physical Therapist	$378.2K	$0
William Jacobson	NY	Family Medicine Physician	$339.9K	$0
Melin Tan-geller	NY	Otolaryngology Physician	$329.9K	$130
Carlo Bayrakdarian	NY	Psychiatry Physician	$320.6K	$0
Cvs Albany LLC	NY	Pharmacy	$309.9K	$560
Jonathan Rie	NY	Specialist	$297.4K	$0

Roy Smetana — Billing Profile & Reimbursement Data

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Roy Smetana — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References