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

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

Kerry Smith (NPI 1629326251)

Field	Value
Entity Type	Individual
Organization	Kerry Smith
Address	1659 Highway 46 W
City	New Braunfels
State	TX
ZIP	78132
Taxonomy	Nurse Practitioner
NPI Enumerated	August 29, 2012

Payer Source	Total Paid
Medicare	$46.3K
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…	500	$50	$25.5K
0241U	N/A	80	$140	$10.9K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	40	$140	$5.9K
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…	40	$60	$2.6K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	60	$20	$1.2K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	20	$20	$240
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	70	$1	$130

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. Texas Distribution

Kerry Smith — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87637	28	70	40	$140	$404.2K
0241U	10	120	30	$140	$13K
99213	1,618	29,790	70	$60	$8.4K
99203	4,055	10,820	30	$70	$3.4K
71046	1,403	3,400	40	$10	$1.5K
87880	1,133	1,810	20	$20	$460
81003	827	3,720	30	$1	$240

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Guido Calderon	TX	Internal Medicine Physician	$593.9K	$0
Bill Davis	TX	Neurology Physician	$545.5K	$0
Priyanka Gupta	TX	Specialist	$469K	$0
Ho Pak	TX	Internal Medicine Physician	$293.6K	$0
Vicente Quintero	TX	Dermatology Physician	$247.6K	$0
Ryan Armour	TX	Neurology Physician	$188.4K	$0
Vladimir Paez	TX	Internal Medicine Physician	$184K	$0
H-e-b, LP	TX	Community/Retail Pharmacy	$169.3K	$0
John Stamps	TX	Chiropractor	$90.5K	$0
Hill Country Drug LLC	TX	Community/Retail Pharmacy	$62.5K	$0

Kerry Smith — Billing Profile & Reimbursement Data

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Kerry 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

Nearby Providers

Frequently Asked Questions

References