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

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

Cheryl Smith (NPI 1649256488)

Field	Value
Entity Type	Individual
Organization	Cheryl Smith
Address	12900 Ne 180th St Ste 110
City	Bothell
State	WA
ZIP	98011
Taxonomy	Physical Therapist
NPI Enumerated	December 22, 2005

Payer Source	Total Paid
Medicare	$10.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	270	$20	$5.9K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	180	$20	$3.2K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	70	$10	$980
97026	The provider, who can be a physician, physical therapist, or massage therapist, among others, applies infrared light therapy to specific body areas to reduce pain, increase joint mobility, promote…	50	$1	$160

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Cheryl Smith — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	1,214	2,280	290	$20	$11.8K
97112	1,062	1,960	200	$20	$6.4K
97140	1,789	2,130	190	$20	$5K
97026	6	10	120	$1	$450

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kerry Suarez	WA	Physical Therapist	$81.6K	$0
Kathryn Matsubuchi	WA	Occupational Therapist	$22.9K	$0
Robyn Moug	WA	Neurology Physical Therapist	$19.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Byram Healthcare Centers, Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$92.8M
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$13.6M
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$2.8M
Jeff Peterson	WA	Rheumatology Physician	$1M	$0
Richard Jimenez	WA	Rheumatology Physician	$205.9K	$0
Kelly Hall	WA	Podiatrist	$84.9K	$0
Lilaine Leonardo	WA	Family Medicine Physician	$42.6K	$0
Callan Kosnik	WA	Medical Physician Assistant	$2.6K	$0

Cheryl Smith — Billing Profile & Reimbursement Data

Sign up for Cheryl Smith — Billing Profile & Reimbursement Data policy alerts

Cheryl Smith — Billing Profile & Reimbursement Data

Sign up for Cheryl Smith — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References