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

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

Jennifer Smith (NPI 1598994923)

Field	Value
Entity Type	Individual
Organization	Jennifer Smith
Address	1525 Chattanooga Rd
City	Dalton
State	GA
ZIP	30720
Taxonomy	Family Nurse Practitioner
NPI Enumerated	July 7, 2009

Payer Source	Total Paid
Medicare	$64.5K
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
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…	900	$50	$45K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	750	$10	$9K
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…	110	$80	$8.6K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	140	$10	$1.1K
99203	The provider sees a new 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 provider…	20	$50	$740
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	320	$1	$320
J1885	Injection, ketorolac tromethamine, per 15 mg	280	$0	$0

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. Georgia Distribution

Jennifer Smith — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6,934	13,640	120	$80	$17.8K
99213	242	13,360	80	$60	$9.2K
99203	4,147	5,350	30	$70	$3.3K
80305	3	250	50	$10	$1.1K
96372	434	2,930	50	$10	$850
J3301	308	1,100	140	$1	$300
J1885	33	550	60	$1	$40

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hamilton Physician Group Inc	GA	Cardiovascular Disease Physician	$0	$5.9M
Jeremiah Watkins	TX	Anatomic Pathology & Clinical Pathology Physician	$1.4M	$0
Joshua Hare	TN	Addiction Medicine (Preventive Medicine) Physician	$358.4K	$0
Justin Hare	GA	Physical Medicine & Rehabilitation Physician	$260.5K	$2.6K
Timothy Bunker	TN	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$206.4K	$4.4K
Vineet Dua	GA	Cardiovascular Disease Physician	$205.3K	$0
Vinod Thourani	GA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$197.4K	$0
Ralph Bowers	GA	Family Medicine Physician	$193.1K	$0
Zade Shaw	GA	Neurology Physician	$151.7K	$0
Christina Oskins	TN	Family Medicine Physician	$151.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Highland Rivers Community Service Board	GA	Community/Behavioral Health Agency	$0	$44.1M
White's Pediatrics	GA	Pediatrics Physician	$0	$25.1M
Family And Children First LLC	GA	Community/Behavioral Health Agency	$0	$19.5M
Pediatrics Of Dalton, PA	GA	Specialist	$0	$5.5M
Dalton Ear Nose & Throat Associates	GA	Otolaryngology Physician	$0	$4M
Skin Cancer & Cosmetic Dermatology Center, PC	GA	Dermatology Physician	$0	$3.4M
John Chung	GA	MOHS-Micrographic Surgery Physician	$2.5M	$0
Hamilton Emergency Medical Services	GA	Land Ambulance	$1.2M	$0
Hosam Saad-naguib	GA	Hematology & Oncology Physician	$1M	$0
Professional Eye Associates, Inc.	GA	Ambulatory Surgical Clinic/Center	$698.9K	$0

Jennifer Smith — Billing Profile & Reimbursement Data

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Jennifer 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