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

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

Lynsey Smith (NPI 1437613031)

Field	Value
Entity Type	Individual
Organization	Lynsey Smith
Address	2375 Champions Blvd
City	Auburn
State	AL
ZIP	36830
Taxonomy	Gerontology Nurse Practitioner
NPI Enumerated	January 28, 2019

Payer Source	Total Paid
Medicare	$2.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	40	$50	$2K
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…	10	$40	$440
87210	The lab analyst or microbiologist performs a wet mount preparation of a specimen, usually from material collected on a swab or placed directly on a microscope slide.	20	$10	$100

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Lynsey Smith — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	4,246	6,470	80	$50	$7.9K
99202	219	250	20	$40	$1.4K
87210	5	10	20	$10	$130

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adapthealth Patient Care Solutions LLC	AL	Durable Medical Equipment & Medical Supplies	$0	$10M
East Alabama Pediatric Dentistry & Orthodontics	AL	Pediatric Dentistry	$0	$9.1M
Liles Pediatric Dentistry	AL	Pediatric Dentistry	$0	$8M
Maternity Services Of District 11, LLC	AL	Exclusive Provider Organization	$0	$5.8M
Stopwatch Urgent Care Centers LLC	AL	Urgent Care Clinic/Center	$0	$3.1M
Ofs, LLC	AL	Oral and Maxillofacial Surgery (Dentist)	$0	$2.7M
Liles Family Dentistry, LLC	AL	Dental Clinic/Center	$0	$2.1M
All For Children, LLC	AL	Speech-Language Pathologist	$0	$2.1M
Auburn Tlc	AL	Speech-Language Pathologist	$0	$1.9M
Auburn Pediatric Dentistry	AL	Pediatric Dentistry	$0	$1.4M

Lynsey Smith — Billing Profile & Reimbursement Data

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Lynsey 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

Nearby Providers

Frequently Asked Questions

References