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

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

Staci Smith (NPI 1558576454)

Field	Value
Entity Type	Individual
Organization	Staci Smith
Address	100 Jackson Pike
City	Gallipolis
State	OH
ZIP	45631
Taxonomy	Nephrology Physician
NPI Enumerated	May 14, 2007

Payer Source	Total Paid
Medicare	$109K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	770	$60	$46.3K
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…	340	$90	$29.1K
90962	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	100	$150	$14.7K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	60	$130	$8.5K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	80	$100	$7.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$90	$1.5K
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…	20	$40	$770

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Staci Smith — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,203	20,010	100	$70	$11.7K
99233	1,691	5,570	70	$90	$11.2K
99232	105	8,050	70	$60	$8.7K
99223	633	5,590	40	$130	$7.6K
99213	6,604	20,000	70	$50	$6.6K
90962	3	60	30	$150	$5.5K
99222	315	5,480	30	$100	$4.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pikeville Medical Center Inc	KY	General Acute Care Hospital	$0	$181.5M
Holzer Clinic, LLC	OH	Multi-Specialty Clinic/Center	$0	$56.1M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Pikeville Medical Center Inc.	KY	Multi-Specialty Clinic/Center	$0	$34.2M
Huntington Hospitalist Group Inc	WV	Hospitalist Physician	$0	$26M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Hospital Development Co	WV	Critical Access Hospital	$0	$14.6M
Jefferson Radiology, PC	CT	Diagnostic Radiology Physician	$0	$14M
Hospital Development Co	WV	Rural Health Clinic/Center	$0	$10.1M
Ths Physician Partners Inc	WV	Internal Medicine Physician	$0	$9.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Holzer Hospital Foundation	OH	Rural Acute Care Hospital	$0	$121.3M
Gallia County Commissioners	OH	Public Health or Welfare Agency	$135.7K	$1.8M
Gallia County Commissioners	OH	Ambulance	$335.5K	$955.2K
Jonathan Hess	OH	Family Medicine Physician	$272.3K	$0
Steven Conley	OH	Diagnostic Radiology Physician	$235.6K	$0
Dean Siciliano	OH	Diagnostic Radiology Physician	$229.1K	$0
Raul Gagucas	OH	Anatomic Pathology & Clinical Pathology Physician	$193.2K	$70
Divya Arora	OH	Radiation Oncology Physician	$150.7K	$0
Rajesh Rajan	OH	Nephrology Physician	$150.4K	$0
Choudhary Rayani	OH	Clinical Cardiac Electrophysiology Physician	$141.6K	$0

Staci Smith — Billing Profile & Reimbursement Data

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Staci 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