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.

Raymond Smith (NPI 1477727162)

Field	Value
Entity Type	Individual
Organization	Raymond Smith
Address	2603 Keiser Blvd
City	Wyomissing
State	PA
ZIP	19610
Taxonomy	Plastic Surgery Physician
NPI Enumerated	April 15, 2008

Payer Source	Total Paid
Medicare	$34K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 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…	290	$50	$14.2K
99183	In this procedure, the provider attends and supervises the administration of hyperbaric oxygen therapy to a patient to treat specific conditions, such as decompression sickness in deep sea divers,…	170	$80	$14.1K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	90	$30	$2.1K
17250	The provider cauterizes granulation tissue using chemicals like silver nitrate or potassium hydroxide to heal the injured tissue.	60	$30	$1.8K
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…	10	$80	$1.1K
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…	20	$60	$860

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Raymond Smith — 0 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99183	9	10	190	$90	$19.7K
99214	22,317	23,230	100	$80	$14.5K
99213	2,485	22,370	70	$60	$7.7K
97597	117	350	60	$60	$5.4K
17250	15	50	40	$40	$3.9K
99203	5,897	7,330	30	$70	$3.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tower Health Medical Group	PA	Emergency Medicine Physician	$0	$8M
Stephen Longenecker	PA	Orthopaedic Surgery Physician	$543.9K	$0
Shawn White	PA	Urology Physician	$283.5K	$0
Arun Kundra	PA	Clinical Cardiac Electrophysiology Physician	$257.8K	$8.3K
Shuaib Latif	CT	Clinical Cardiac Electrophysiology Physician	$248.6K	$10.8K
Melissa Herbein	PA	Family Nurse Practitioner	$247.2K	$0
Li-hong Lu	PA	Physical Medicine & Rehabilitation Physician	$243.3K	$0
David Scollan	PA	Clinical Cardiac Electrophysiology Physician	$203.8K	$5.1K
Gene Carpenter	PA	Diagnostic Radiology Physician	$196.5K	$60
Pratap Reddy	PA	Sleep Medicine (Internal Medicine) Physician	$171.4K	$3.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$18.5M
Holcomb Associates, Inc.	PA	Community/Behavioral Health Agency	$0	$11.1M
Paragon Behavioral Health Services, LLC	PA	Community/Behavioral Health Agency	$0	$10.8M
Patient First Pennsylvania Medical Group PLLC	PA	Family Medicine Physician	$0	$5.6M
Barry Malloy	PA	Retina Specialist (Ophthalmology) Physician	$3.3M	$1.8K
Anastasia Traband	PA	Retina Specialist (Ophthalmology) Physician	$3.1M	$14K
The Reading Hospital Surgicenter At Spring Ridge LLC	PA	Ambulatory Surgical Clinic/Center	$330.9K	$2.3M
Saurin Mehta	PA	Specialist	$2.6M	$0
Pennsylvania Eye & Ear Surgery	PA	Ambulatory Surgical Clinic/Center	$2.1M	$252.9K
Jeremy Aikey	PA	Ophthalmology Physician	$2.3M	$0

Raymond Smith — Billing Profile & Reimbursement Data

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Raymond 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