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

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

Ryan Smith (NPI 1639157365)

Field	Value
Entity Type	Individual
Organization	Ryan Smith
Address	46-001 Kamehameha Hwy Ste 212
City	Kaneohe
State	HI
ZIP	96744
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	January 3, 2006

Payer Source	Total Paid
Medicare	$494.5K
Medicaid	$0

Key Findings

This provider is effectively a Medicare-only billing entity: lifetime Medicare revenue is $494.5K while Medicaid billing is none (no Medicaid billing on file), so payer mix is dominated by Medicare with no Medicaid activity to analyze. Analysts should treat this profile as single‑payer Medicare performance rather than a dual‑payer operation.

Revenue concentration is high: the precomputed top 3 Medicare codes (99214, J1306, 93306) account for 52.3% of this provider's total Medicare revenue. Those three codes individually contribute $145.7K (29.5%) for 99214, $61.3K (12.4%) for J1306, and $51.3K (10.4%) for 93306, indicating that a small set of services drives more than half of Medicare receipts.

The service mix points to outpatient cardiology with embedded vascular diagnostics and interventional procedures: 99214 (established office visits) is the single largest revenue generator, 93306 (echocardiography) is a major imaging service, and multiple duplex/vascular codes (93925, 93880, 93978, 93970) and 36482 (chemical adhesive ablation) indicate a significant focus on noninvasive vascular testing and endovenous procedures. Combined, the code mix suggests a practice that couples longitudinal outpatient E/M with on‑site cardiovascular imaging and some procedural vascular treatments.

Competitive standing on key codes is mixed: 99214 is an extreme outlier nationally (ranks #3087 of 479517; 99th percentile), signaling unusually high volume of established office visits relative to peers. By contrast, J1306 (injection, inclisiran) ranks #282 of 462 (37th percentile), and 93306 (echocardiography) ranks #4861 of 24624 (80th percentile), so the provider is exceptionally concentrated in office E/M nationally while maintaining typical to above‑typical volumes in imaging and specific injectable therapy.

Several diagnostic and monitoring codes are notably above typical national volume, reinforcing the imaging/monitoring emphasis: 93000 (ECG) is listed as notably above typical (ranks #2543 of 71016; 96th percentile) and 93356 (speckle tracking) is also notably above typical (ranks #291 of 4427; 93rd percentile). These higher‑than‑typical volumes for cardiac diagnostics imply a workload heavy in cardiac testing and advanced echo analytics in addition to routine visits.

Device management and remote monitoring appear as an established revenue stream: multiple pacemaker/ICD programming and remote monitoring codes (for example 93280, 93284, 93294, 93296 and related 9327x/9328x codes) show repeated billing across the top codes list, collectively representing ongoing device follow‑up and technical services. Individually these codes are smaller revenue contributors, but together they indicate an operational capability in implanted device maintenance and surveillance.

Tenure in the dataset is long enough to imply established practice patterns: the NPI was enumerated on 2006-01-03 (~20 years ago), suggesting sustained activity and an entrenched billing footprint rather than a short‑term or newly registered provider. Analysts should consider historical practice patterns and referral relationships when assessing competitive dynamics.

Outside of the extreme 99214 volume, most high‑revenue codes are classified as "typical, unremarkable volume" or ‘‘typical, unremarkable’’ to ‘‘above typical’’ in national percentile rankings (for example 93925 at the 95th percentile and 93880 at the 93th percentile are high but described as typical), indicating that the provider’s dominance is concentrated in office E/M while other services align more closely with regional/national norms.

Medicare: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,580	$90	$145.7K
J1306	Injection, inclisiran, 1 mg	6,820	$10	$61.3K
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…	440	$120	$51.3K
93925	The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…	180	$210	$37.1K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	210	$160	$32.7K
36482	In this procedure, the provider inserts a chemical adhesive through a catheter into an incompetent vein in an extremity to ablate the vein. The provider reports this code for treatment of the first…	20	$1,450	$30.4K
93978	The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess…	150	$150	$23.1K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	130	$160	$20.7K
93280	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system. He changes various operating…	230	$60	$13.9K
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…	80	$150	$11.4K

Showing 1–10 of 29

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Ryan Smith — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. state median

29 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1306	1	10	6,820	$10	$59.5K
36482	1	10	20	$1,450	$30.4K
93306	9	60	190	$90	$22.8K
93978	6	20	130	$130	$19K
93925	7	30	40	$180	$16.6K
99214	6	1,440	100	$80	$15.2K
33208	2	10	20	$400	$10.9K
93880	4	40	50	$110	$9.2K
99232	154	390	70	$60	$8.6K
99213	912	1,460	70	$60	$8.4K

Showing 1–10 of 29

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Castle Medical Center	HI	General Acute Care Hospital	$0	$37.6M
Castle Medical Center	HI	Rural Health Clinic/Center	$0	$983.7K
Castle Medical Center	HI	Clinic/Center	$0	$628.9K
Denis Mee-lee	HI	Psychiatry Physician	$16K	$552K
Sonny Wong	HI	Cardiovascular Disease Physician	$467.2K	$0
Giselle Baquero Caranama	HI	Interventional Cardiology Physician	$349.8K	$0
Maria Markarian	MI	Interventional Cardiology Physician	$340.5K	$0
Albert Ing	HI	Cardiovascular Disease Physician	$300.3K	$0
Lance Kurata	HI	Internal Medicine Physician	$257.1K	$0
Amanda Marn	HI	Cardiovascular Disease Physician	$194.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Alcoholic Rehabilitation Services Of Hawaii Inc	HI	Substance Abuse Rehabilitation Facility	$0	$4.5M
Oahu Oral And Maxillofacial Surgery	HI	Oral and Maxillofacial Surgery Clinic/Center	$0	$3.7M
Po Ailani	HI	Mental Illness Community Based Residential Treatment Facility	$0	$3.3M
Usrc Ko'olau LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.6M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.1M
Western Health Resources	HI	Home Health Agency	$0	$1.9M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.5M
Usrc Windward, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.4M
Paul M.t. Yim	HI	Dentist	$0	$960.9K
Windward Pediatrics, Inc.	HI	Specialist	$0	$848.2K

Ryan 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