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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Kerrington Smith (NPI 1568685626)

Kerrington Smith is a surgery physician provider located in Lebanon, New Hampshire. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Kerrington Smith
Address	1 Medical Center Dr
City	Lebanon
State	NH
ZIP	03756
Taxonomy	Surgery Physician
NPI Enumerated	April 10, 2007

Payer Source	Total Paid
Medicare	$69.3K
Medicaid	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
48150	In this procedure, the provider removes most of the pancreas as well as the duodenum, part of the bile duct, and distal stomach with reconstruction and connection of the pancreas to the jejunum.	20	$2,250	$33.8K
99204	The provider sees a new 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 provider…	80	$110	$8.2K
49320	In this procedure, the provider examines the inside of the abdomen through a laparoscope, a tubular instrument with a light source and camera, to look for causes of a patient's abdominal symptoms,…	30	$270	$7.5K
49905	The provider repositions a flap of omentum, a fatty membrane in the abdominal cavity, to fill a defect during an abdominal surgery. He rotates the flap into place, without disrupting its vascular…	20	$270	$5.1K
36561	A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient. The catheter's tip must terminate in the…	30	$140	$4.8K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	30	$110	$3.2K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	10	$150	$1.9K
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…	10	$120	$1.7K
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…	20	$80	$1.2K
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	$50	$1K

Showing 1–10 of 12

Kerrington 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

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
48150	1	10	20	$2,250	$33.8K
99214	2,963	3,150	110	$80	$13.2K
49320	1	10	30	$270	$7.5K
99223	598	700	30	$130	$7.2K
99213	2,496	2,900	70	$50	$6.9K
99215	638	1,080	40	$110	$6.8K
36561	4	30	20	$240	$5.6K
49905	1	10	20	$270	$5.1K
99205	358	440	20	$140	$4.9K
99204	189	1,340	30	$100	$4.6K