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

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

Robert Smith (NPI 1558460956)

Field	Value
Entity Type	Individual
Organization	Robert Smith
Address	1315 Hospital Dr
City	St Johnsbury
State	VT
ZIP	05819
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	September 22, 2006

Payer Source	Total Paid
Medicare	$154K
Medicaid	$0

Key Findings

ROBERT SMITH’s Medicare revenue footprint is modest in absolute terms, with Total Medicare revenue reported as $154K and no Medicaid billing on file; this makes the provider effectively a single-payer (Medicare-only) biller in the available data and indicates limited exposure to Medicaid populations or contracts. The absence of any Medicaid codes or revenue suggests either no participation in state programs, credentialing constraints, or billing routed through another entity.

Revenue concentration is moderate: the precomputed note that the top 3 Medicare codes by revenue account for 37.0% of this provider's total Medicare revenue indicates that a small set of imaging services drive over one-third of Medicare receipts, concentrating financial risk and operational focus on a few procedures. Analysts should treat the practice as somewhat dependent on its highest-revenue imaging services for near-term stability.

The top Medicare revenue code is 74177 (CT abdomen/pelvis with contrast), contributing $20.9K and 17.1% of this provider’s Medicare revenue; this code’s national rank (#1936 of 23621, 92th percentile) places the provider well above many peers in volume for that specific CT abdominal/pelvic service, signaling a meaningful local market role in advanced abdominal imaging.

Breast imaging (77067 and 77063) is also a primary service line for this provider, with 77067 generating $13.6K (11.1%) and 77063 $10.9K (8.9%) of Medicare revenue. Both mammography codes sit around the 65th percentile nationally (77067 rank #5239 of 15198; 77063 rank #4963 of 14277), indicating steady, typical screening volumes—enough to suggest a sustained outpatient mammography practice but not dominance.

Several CT and MRI head/chest/spine codes keep the practice diversified across cross-sectional imaging: 70450 ($9.5K, 7.8%), 74176 ($7.6K, 6.2%), 71260 ($7K, 5.7%), and 71275 ($6.7K, 5.4%) together show a workload mix spanning neuro, abdominal, and thoracic CT/MRA studies. National percentile ranks for these codes (ranging roughly from the 77th to 90th percentiles for some CT thorax codes) point to consistently typical-to-above-typical volumes for imaging services rather than being concentrated exclusively in low-reimbursement radiography.

A handful of conventional radiography codes appear at high relative volumes: chest X-ray codes 71046 and 71045 and extremity series such as 73030, 73564 and 73502 show very high national percentile standings (71046 at the 95th percentile; 73030 at the 98th percentile; 73564 and 73502 at 95th and 97th percentiles respectively), which suggests that while cross-sectional imaging generates the largest dollar amounts, the practice also processes substantial numbers of basic plain-film studies—consistent with a general diagnostic radiology practice supporting broad outpatient imaging demand.

Competitive standing is mixed: for high-dollar CT procedures like 74177 the provider ranks in the 92th percentile nationally, signaling a strong relative position for that specific service, while many MRI and CT codes sit near typical national volumes (mid-percentiles). This pattern implies the provider is a notable local source for certain CT services but an otherwise modest participant compared with high-volume national radiology groups.

Provider tenure is long: the NPI was enumerated on 2006-09-22 (~20 years ago). That extended enrollment suggests established participation in Medicare over two decades, which supports stability in billing patterns and relationships with referral sources despite the overall modest revenue scale.

Medicare: Complete Services Breakdown

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

75 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	330	$60	$20.9K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	390	$40	$13.6K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	390	$30	$10.9K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	340	$30	$9.5K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	130	$60	$7.6K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	180	$40	$7K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	100	$60	$6.7K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	110	$30	$3.6K
71250	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.	100	$40	$3.5K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	40	$80	$3.4K

Showing 1–10 of 75

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 75 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Robert Smith — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

75 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
77067	19	30	450	$40	$19.4K
77063	19	30	450	$30	$15K
74177	4	40	140	$60	$10.9K
70450	12	30	190	$30	$7.7K
74183	15	20	30	$160	$7.2K
70553	15	30	50	$90	$6.6K
72148	16	30	80	$60	$5.6K
71260	10	30	80	$40	$4.8K
71250	15	30	100	$40	$4.1K
71275	7	30	40	$60	$4K

Showing 1–10 of 75

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regents Of The University Of California	CA	General Acute Care Hospital	$0	$177.5M
Alameda Health System	CA	General Acute Care Hospital	$0	$172.2M
Metropolitan Hospital	MI	General Acute Care Hospital	$0	$101M
Loma Linda University Medical Center-murrieta	CA	General Acute Care Hospital	$0	$70.8M
Alameda Health System	CA	Federally Qualified Health Center (FQHC)	$0	$64.6M
Alameda Health System	CA	Federally Qualified Health Center (FQHC)	$0	$57.8M
Alameda Health System	CA	Assisted Living Facility	$0	$30.6M
Alameda Health System	CA	Federally Qualified Health Center (FQHC)	$0	$26.9M
Mymichigan Medical Center Sault	MI	General Acute Care Hospital	$0	$13.5M
St Paul Place Specialists, Inc.	MD	Dermatology Physician	$0	$13.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Darren Boles Dds PLLC	VT	Dental Clinic/Center	$0	$5.2M
Baart Behavioral Health Services, Inc.	VT	Substance Use Disorder Rehabilitation Clinic/Center	$559K	$3.5M
Northern Counties Health Care, Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$3.4M
Northeastern Vermont Regional Hospital, Inc	VT	Primary Care Clinic/Center	$0	$2.8M
Northern Counties Health Care, Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$2.5M
Caledonia-essex Area Ambulance Service, Inc.	VT	Land Ambulance	$406.4K	$1.6M
Northern Counties Health Care, Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$1.8M
Northeastern Vermont Regional Hospital, Inc	VT	Rural Health Clinic/Center	$0	$1.3M
Northern Counties Health Care, Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$1.3M
Jason Parks	VT	Radiation Oncology Physician	$1.2M	$0

Robert Smith — Billing Profile & Reimbursement Data

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Robert Smith — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References