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

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

Marcus Smith (NPI 1578769055)

Field	Value
Entity Type	Individual
Organization	Marcus Smith
Address	3200 Quail Springs Pkwy
City	Oklahoma City
State	OK
ZIP	73134
Taxonomy	Interventional Cardiology Physician
NPI Enumerated	June 22, 2007

Payer Source	Total Paid
Medicare	$1.6M
Medicaid	$0

Key Findings

Provider is effectively single‑payer and long‑tenured: this profile records Total Medicare revenue of $1.6M and Total Medicaid revenue: none (no Medicaid billing on file), indicating the practice operates almost entirely on Medicare fee‑for‑service. The NPI was enumerated 2007-06-22 (~19 years ago), consistent with an established solo or small-group interventional cardiology practice with long operating history.

Revenue is highly concentrated in three imaging/stress‑related codes: the precomputed top‑3 account for 70.2% of Medicare revenue, driven by 78492 (78492: 485 claims, $1096 avg paid/claim, $531.6K revenue (33.3% of this provider's total Medicare revenue)), A9555 (A9555: 549 claims, $891 avg paid/claim, $489.2K revenue (30.6% of this provider's total Medicare revenue)), and J2785 (J2785: 2.4K claims, $42 avg paid/claim, $99.4K revenue (6.2% of this provider's total Medicare revenue)). This concentration signals that a small set of diagnostic imaging and stress‑agent services drive most of billed revenue.

Top codes and code descriptions indicate a nuclear cardiology / stress‑testing focus: 78492 is myocardial perfusion PET imaging, A9555 is Rubidium rb‑82 tracer, and J2785 is regadenoson for pharmacologic stress. Combined with high claim counts for 78492 and A9555, the coding mix is consistent with a PET‑based cardiac imaging center or a cardiology practice that routinizes pharmacologic stress PET studies rather than primarily performing inpatient interventional procedures.

Competitive standing is strong for PET perfusion and pharmacologic stress volumes: 78492 ranks #28 of 926 providers nationally (97th percentile; notably above typical national volume for this code) and J2785 ranks #36 of 6388 providers nationally (99th percentile; notably above typical national volume for this code). By contrast, A9555 ranks #89 of 1266 providers nationally (93th percentile; typical, unremarkable volume for this code), suggesting very high procedural intensity for PET imaging relative to most peers but a mix of both standout and typical performance across tracer supply codes.

Practice offers a broad cardiology service set beyond PET: notable additional Medicare activity includes echocardiography 93306 (93306: 681 claims, $109 avg paid/claim, $74.2K revenue (4.7% of this provider's total Medicare revenue)) which ranks #1507 of 24624 providers nationally (94th percentile; notably above typical national volume), and coronary angiography imaging supervision 93458 (93458: 125 claims, $202 avg paid/claim, $25.3K revenue (1.6% of this provider's total Medicare revenue)) which ranks #327 of 7990 providers nationally (96th percentile; notably above typical national volume). These data indicate a hybrid model combining high‑volume noninvasive testing with interpretation/supervision of invasive imaging.

Several codes are statistical outliers in national volume for nonprocedural services, implying heavy outpatient throughput: 99213 (99213: 887 claims, $55 avg paid/claim, $48.8K revenue (3.1% of this provider's total Medicare revenue)) ranks #8534 of 457151 providers nationally (98th percentile; extreme outlier, far above typical national volume) and 93015 (93015: 670 claims, $45 avg paid/claim, $30.2K revenue (1.9% of this provider's total Medicare revenue)) ranks #43 of 7716 providers nationally (99th percentile; extreme outlier, far above typical national volume). High E/M and supervised stress test volumes suggest substantial ambulatory patient flow supporting the imaging business.

There are pockets of high relative rank with modest absolute revenue, which is important for competitive interpretation: for example, 78473 (78473: 16 claims, $187 avg paid/claim, $3K revenue (0.2% of this provider's total Medicare revenue)) ranks #1 of 3 providers nationally (100th percentile; typical, unremarkable volume for this code), while other cath codes like 92928 (92928: 48 claims, $427 avg paid/claim, $20.5K revenue (1.3% of this provider's total Medicare revenue)) sit at more modest percentiles (82th percentile; typical, unremarkable volume). High percentiles do not always equate to material revenue contribution, so competitive assessments should weigh both rank and absolute dollars.

Operational and payer‑risk implications: reliance on imaging‑heavy Medicare revenue ($1.6M) with no Medicaid billing creates concentration exposure to changes in Medicare imaging reimbursement, radiopharmaceutical supply (A9555), or utilization management for stress agents (J2785). Analysts should prioritize investigating referral sources, onsite PET capability vs. contracted imaging, and the supply/logistics for Rubidium rb‑82 when modeling revenue sensitivity and network contracting strategies.

Medicare: Complete Services Breakdown

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

43 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
78492	In this diagnostic procedure, the provider performs a myocardial perfusion PET imaging study which means it reveals the flow of oxygenated blood to the heart muscles. The service also includes…	490	$1,100	$531.6K
A9555	Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries	550	$890	$489.2K
J2785	Injection, regadenoson, 0.1 mg	2,370	$40	$99.4K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	680	$110	$74.2K
93229	In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect…	90	$590	$51.5K
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…	890	$60	$48.8K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	170	$280	$48.5K
36223	In this procedure, the provider performs imaging supervision and interpretation for angiography performed by inserting a catheter through a distal artery into the thoracic aorta and farther into the…	20	$1,730	$39.8K
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…	390	$90	$34.9K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	670	$50	$30.1K

Showing 1–10 of 43

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oklahoma Distribution

Marcus Smith — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. state median

43 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9555	1	10	460	$900	$410K
78492	1	10	190	$1,010	$224.4K
33285	12	30	20	$960	$24.9K
93229	2	10	30	$580	$24.5K
93306	30	250	320	$60	$22.4K
J2785	1	20	160	$40	$21.6K
99214	1,140	5,560	130	$70	$18.4K
92928	22	90	30	$400	$14.4K
93458	15	140	50	$210	$13K
78452	30	170	80	$80	$10.1K

Showing 1–10 of 43

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Don Wynn	TX	Pulmonary Disease Physician	$1.4M	$0
William Garner	OK	Interventional Cardiology Physician	$1.1M	$0
Blake Parsons	OK	Vascular & Interventional Radiology Physician	$932.8K	$0
Karen Swisher	OK	Medical Oncology Physician	$805.7K	$0
Jim Melton	OK	Vascular Surgery Physician	$695.2K	$0
Dwayne Schmidt	OK	Interventional Cardiology Physician	$606.5K	$0
John Schrader	OK	Cardiovascular Disease Physician	$397.8K	$0
Monica Lo	OK	Clinical Cardiac Electrophysiology Physician	$396.5K	$0
George Madden	OK	Cardiovascular Disease Physician	$338.3K	$0
Kishore Kumar	OK	Hospitalist Physician	$330.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integris Ambulatory Care Corporation	OK	Family Medicine Physician	$0	$27.5M
Amerita, Inc.	OK	Home Infusion Therapy Pharmacy	$0	$12.2M
The Physicians Group LLC	OK	General Practice Physician	$0	$6.8M
Dental Depot Of 145th & N. Penn	OK	Dentist	$0	$3.1M
Advanced Surgical & Research Solutions LLC	OK	Ambulatory Surgical Clinic/Center	$2.9M	$0
Oklahoma Outpatient Surgery Limited Partnership	OK	Ambulatory Surgical Clinic/Center	$2.2M	$209.6K
Blake Christensen	OK	Interventional Pain Medicine Physician	$1.4M	$0
Garrett Wright	OK	Anesthesiology Physician	$1M	$0
Whitney Simmons	OK	Gerontology Nurse Practitioner	$705.6K	$0
Justin Porter	OK	Interventional Pain Medicine Physician	$644.9K	$0

Marcus 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