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

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

Stacey Smith (NPI 1649210832)

Field	Value
Entity Type	Individual
Organization	Stacey Smith
Address	1245 Washington Ave
City	Detroit Lakes
State	MN
ZIP	56501
Taxonomy	Family Medicine Physician
NPI Enumerated	June 7, 2006

Payer Source	Total Paid
Medicare	$4.7K
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
0241U	N/A	10	$140	$1.8K
85027	The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…	190	$10	$1.1K
80047	The lab analyst performs a basic metabolic panel (BMP) test in which he measures the blood level of eight chemicals identified in the descriptor including ionized calcium, sodium, potassium,…	60	$10	$810
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	80	$10	$610
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	30	$1	$130
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	30	$1	$90
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…	10	$1	$20

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. Minnesota Distribution

Stacey Smith — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0241U	22	30	20	$140	$2.5K
36415	1,795	3,480	80	$10	$1.5K
85027	55	1,110	30	$10	$460
80047	8	80	20	$10	$380
81001	299	1,120	20	$1	$180
93005	29	200	20	$1	$110
81003	418	480	20	$1	$100

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Marys Regional Health Center	MN	Rural Acute Care Hospital	$0	$18.7M
St Marys Ems	MN	Land Ambulance	$2.1M	$8.6M
St Mary's Regional Health Center	MN	Family Medicine Physician	$0	$6.8M
Benjamin Smith	MN	Diagnostic Radiology Physician	$192.4K	$0
Max Disse	MN	Dermatology Physician	$173.8K	$0
Peggy Maasjo	MN	Nurse Practitioner	$134.5K	$0
Stephen Nordmark	MN	Internal Medicine Physician	$124.5K	$0
Jon Larson	MN	Family Medicine Physician	$122.3K	$0
Sanford Medical Center Fargo	MN	Ambulatory Surgical Clinic/Center	$110.9K	$970
Nicole Cox	MN	Internal Medicine Physician	$107.2K	$0

Stacey Smith — Billing Profile & Reimbursement Data

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Stacey 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