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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Jason Smith (NPI 1558561647)

Field	Value
Entity Type	Individual
Organization	Jason Smith
Address	3755 Teays Valley Rd
City	Hurricane
State	WV
ZIP	25526
Taxonomy	Family Medicine Physician
NPI Enumerated	July 18, 2007

Payer Source	Total Paid
Medicare	$830
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	60	$10	$510
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	100	$1	$290

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Jason Smith — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
83036	76	190	50	$10	$1.2K
82962	7	20	50	$1	$380

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Drs Martin & Kirk PLLC	WV	Pediatric Dentistry	$0	$14.2M
Valley Health Systems Inc	WV	Federally Qualified Health Center (FQHC)	$0	$8.6M
Active Medical LLC	WV	Durable Medical Equipment & Medical Supplies	$0	$5.2M
Milestones Physical Therapy, Inc.	WV	Physical Therapist	$0	$3.1M
Wv Wellness And Recovery LLC	WV	Medical Specialty Clinic/Center	$0	$2.4M
Cardiovascular Consultants PLLC	WV	Cardiovascular Disease Physician	$0	$2.4M
Womencare Inc	WV	Federally Qualified Health Center (FQHC)	$0	$1M
Valley Health Systems, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$894.9K
Womencare Inc	WV	Federally Qualified Health Center (FQHC)	$0	$838.1K
James Toothman	WV	Internal Medicine Physician	$528.3K	$19.8K

Jason Smith — Billing Profile & Reimbursement Data

Sign up for Jason Smith — Billing Profile & Reimbursement Data policy alerts

Jason Smith — Billing Profile & Reimbursement Data

Sign up for Jason Smith — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References