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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Vlastimil Smetka (NPI 1497974273)

Field	Value
Entity Type	Individual
Organization	Vlastimil Smetka
Address	501 Robertson Blvd
City	Walterboro
State	SC
ZIP	29488
Taxonomy	Family Medicine Physician
NPI Enumerated	April 24, 2007

Payer Source	Total Paid
Medicare	$457.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	3,640	$80	$284.2K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	1,170	$100	$115.9K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	150	$140	$20.6K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	140	$90	$13K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	110	$90	$9.5K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	120	$60	$6.4K
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	40	$100	$3.9K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	10	$100	$1.1K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	20	$50	$810

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Vlastimil Smetka — 2 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99349	317	530	240	$80	$30.4K
99309	1	470	290	$70	$29.9K
99310	110	270	80	$100	$17.2K
99306	39	160	60	$130	$15K
99308	199	390	120	$50	$12.9K
99305	1	120	40	$100	$6.8K
99348	286	320	40	$50	$4.1K
99316	150	160	30	$80	$3.9K
99344	39	160	20	$90	$2.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Curana Health Of South Carolina PC	SC	Internal Medicine Physician	$0	$6.4M
Jonathan Macon	SC	Internal Medicine Physician	$911.1K	$0
Patrick O'brien	NC	Physical Medicine & Rehabilitation Physician	$910.2K	$0
Hillary Drozd	TX	Family Nurse Practitioner	$900.5K	$0
Thomas Quinn	PA	Rheumatology Physician	$883.9K	$0
Casey Mcmillan	SC	Internal Medicine Physician	$663.3K	$0
Victor Aguin Melendez	SC	Internal Medicine Physician	$634.6K	$0
Mohammed Farooqui	NC	Cardiovascular Disease Physician	$517.7K	$0
William Morton	GA	Internal Medicine Physician	$479.3K	$0
Stephanie Holesinger	IL	Family Nurse Practitioner	$455.8K	$20.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Colleton County Board Of Disabilities And Special Needs	SC	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$16.7M
Walterboro Community Hospital, Inc.	SC	General Acute Care Hospital	$0	$11.8M
Walterboro Family Practice Associates, P.A.	SC	Family Medicine Physician	$0	$7M
Colleton County School District	SC	Speech-Language Pathologist	$0	$3.1M
Walterboro Adult & Pediatric Medicine, LLC	SC	Rural Health Clinic/Center	$0	$2.2M
Genesis Health Care, Inc	SC	Federally Qualified Health Center (FQHC)	$0	$2.1M
County Of Colleton	SC	Ambulance	$518.9K	$1.5M
Genesis Healthcare, Inc	SC	Federally Qualified Health Center (FQHC)	$0	$1.9M
Beacon Respiratory Services Of Georgia, Inc	SC	Oxygen Equipment & Supplies (DME)	$0	$1.7M
Med-trans Corporation	SC	Air Ambulance	$544K	$0

Vlastimil Smetka — Billing Profile & Reimbursement Data

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Vlastimil Smetka — 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