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

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

Karen Smith (NPI 1477559136)

Field	Value
Entity Type	Individual
Organization	Karen Smith
Address	Knights Road & Red Lion Road
City	Philadelphia
State	PA
ZIP	19114
Taxonomy	Certified Registered Nurse Anesthetist
NPI Enumerated	June 27, 2005

Payer Source	Total Paid
Medicare	$5.6K
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
00534	The provider performs anesthesia services for a patient undergoing the procedure of transvenous cardioverter–defibrillator insertion in which another provider inserts a device, via a blood vessel in…	20	$130	$2.3K
00530	The provider performs anesthesia services for a patient undergoing the procedure of permanent transvenous pacemaker insertion in which another provider inserts a device via a blood vessel in the neck…	20	$90	$1.7K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	20	$80	$1.6K

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. Pennsylvania Distribution

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

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00534	5	20	10	$140	$2.2K
01922	158	540	20	$90	$1.7K
00530	34	120	20	$90	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aria Health Physicians Services - Emergency Medicine	PA	Emergency Medicine Physician	$0	$6.1M
Daniel Lin	PA	Family Medicine Physician	$127.1K	$2.4M
Farhan Tahir	PA	Rheumatology Physician	$1M	$0
Med-trans Corporation	AZ	Air Ambulance	$474.2K	$261.6K
Christopher Schulze	PA	Clinical Cardiac Electrophysiology Physician	$625.3K	$0
Paul Grena	PA	Cardiovascular Disease Physician	$433.4K	$0
Sheema Jalil	NJ	Internal Medicine Physician	$408K	$0
Gregory Schroeder	PA	Orthopaedic Surgery Physician	$389.9K	$0
Steven Mattleman	PA	Cardiovascular Disease Physician	$351.6K	$1.1K
Arjun Ramprasad	PA	Sports Medicine (Family Medicine) Physician	$313K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jevs Care At Home	PA	In Home Supportive Care Agency	$0	$14.9M
Soar Corp	PA	Methadone Clinic	$0	$11.3M
Jefferson Health - Northeast	PA	General Acute Care Hospital	$0	$5.5M
Jason Schoenfeld	PA	MOHS-Micrographic Surgery Physician	$743.7K	$528.9K
Moshe Chasky	PA	Hematology & Oncology Physician	$761K	$14.8K
Frederick Dold	PA	Hematology & Oncology Physician	$618.8K	$13.8K
Mark Castaldi	PA	Diagnostic Radiology Physician	$523.9K	$94.5K
Gi Asc LLC	PA	Ambulatory Surgical Clinic/Center	$512K	$66.4K
Liberty Eye Surgical Center LLC	PA	Ambulatory Surgical Clinic/Center	$451.4K	$78.2K
Sushrut Shah	PA	Diagnostic Radiology Physician	$376.9K	$0

Karen Smith — Billing Profile & Reimbursement Data

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Karen 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