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

Why is the Medicaid comparison limited to North 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. North 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.

Ellison Smith (NPI 1538123989)

Field	Value
Entity Type	Individual
Organization	Ellison Smith
Address	4 Vanderbilt Park Dr
City	Asheville
State	NC
ZIP	28803
Taxonomy	Rheumatology Physician
NPI Enumerated	April 13, 2006

Payer Source	Total Paid
Medicare	$1.8M
Medicaid	$0

Medicare: Complete Services Breakdown

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

48 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	11,300	$30	$384.2K
J0717	Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	59,200	$1	$236.8K
J1602	Injection, golimumab, 1 mg, for intravenous use	23,550	$10	$235.5K
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	7,290	$30	$218.7K
J3262	Injection, tocilizumab, 1 mg	34,040	$10	$170.2K
J9312	Injection, rituximab, 10 mg	2,650	$60	$159K
J3111	Injection, romosozumab-aqqg, 1 mg	14,280	$10	$114.2K
J0897	Injection, denosumab, 1 mg	5,640	$20	$101.5K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	470	$100	$45.9K
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…	470	$90	$41.5K

Showing 1–10 of 48

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 48 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Ellison Smith — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

48 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	28	70	9,530	$30	$393.2K
J3262	24	40	37,160	$1	$224.8K
J0717	10	40	37,400	$1	$178.8K
J9312	6	20	2,070	$60	$178.1K
J1602	16	70	11,900	$10	$175.9K
J3111	17	30	13,970	$10	$135.8K
Q5104	1	10	2,860	$30	$101.3K
J0897	70	430	2,100	$20	$63.9K
82784	28	30	210	$10	$50.3K
82306	267	870	50	$30	$20.2K

Showing 1–10 of 48

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jill Vargo	NC	Rheumatology Physician	$1.7M	$0
Adrian Vazquez	NC	Rheumatology Physician	$1.7M	$0
Christopher Meyer	NC	Rheumatology Physician	$1.5M	$0
Julie Levengood	NC	Rheumatology Physician	$1.4M	$0
Ana Arango	NC	Rheumatology Physician	$1.2M	$0
Sunil Abraham	NC	Rheumatology Physician	$1.1M	$0
Kristin Gowin	NC	Rheumatology Physician	$1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carolina Rehabilitation Specialists, Inc.	NC	Speech-Language Pathologist	$0	$26.1M
Mountain Area Health Education Center, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$17.5M
The Bair Foundation	NC	Foster Care Agency	$0	$17.3M
The Arc Of North Carolina	NC	Community/Behavioral Health Agency	$0	$14.6M
Mountain Area Health Education Center, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$14.3M
Tender Loving Care Homes, Inc.	NC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$13.1M
Asheville Pediatric Associates	NC	Pediatrics Physician	$0	$10.9M
Asheville Children's Medical Center, P.A.	NC	Pediatrics Physician	$0	$9.4M
Crossroads Treatment Centers Of Asheville, PC	NC	Multi-Specialty Clinic/Center	$81.2K	$6.5M
Orthopaedic Surgery Center Of Asheville, LP	NC	Ambulatory Surgical Clinic/Center	$5.1M	$11.7K

Ellison 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