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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Gregory Smith (NPI 1699253294)

Field	Value
Entity Type	Individual
Organization	Gregory Smith
Address	3505 Pelham Rd Ste B
City	Greenville
State	SC
ZIP	29615
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	August 6, 2018

Payer Source	Total Paid
Medicare	$221.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	2,680	$70	$176.7K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	480	$50	$21.4K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	90	$100	$8.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	50	$120	$5.6K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	110	$50	$5.6K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	30	$80	$2.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Gregory Smith — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	2	470	290	$70	$29.9K
99310	129	270	80	$100	$17.2K
99308	61	390	120	$50	$12.9K
99497	173	710	50	$60	$5K
90792	42	150	20	$120	$4.7K
99316	87	160	30	$80	$3.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Curana Health Of South Carolina PC	SC	Internal Medicine Physician	$0	$6.4M
Paul Castaldi	RI	Clinical Social Worker	$0	$5.2M
Payal Sud	IL	Clinical Social Worker	$66.6K	$3.2M
Kristin Elatkin	IL	Family Nurse Practitioner	$1.6M	$5K
Jonathan Macon	SC	Internal Medicine Physician	$911.1K	$0
Hillary Drozd	TX	Family Nurse Practitioner	$900.5K	$0
Allison Ann Lyavdansky	PA	Gerontology Nurse Practitioner	$743.8K	$12.8K
Victor Aguin Melendez	SC	Internal Medicine Physician	$634.6K	$0
William Morton	GA	Internal Medicine Physician	$479.3K	$0
Kenneth Santiago	SC	Internal Medicine Physician	$467.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Childrens Medical Center	SC	Specialist	$0	$17.1M
Prisma Health University Medical Group	SC	Developmental - Behavioral Pediatrics Physician	$0	$16M
Agapi Behavioral Consultants	SC	Behavior Analyst	$0	$15M
St Francis Hospital, Inc.	SC	General Acute Care Hospital	$0	$13M
Eastside Pediatric Dentistry PA	SC	Pediatric Dentistry	$0	$10M
Magnolia Medical Group Inc	SC	Physical Therapist	$0	$9.9M
Greenville Health Corporation	SC	Durable Medical Equipment & Medical Supplies	$0	$8.9M
D&s Community Services Sc, LLC	SC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.3M
Bloom Behavioral Therapy LLC	SC	Mental Health Counselor	$0	$7.5M
Prisma Health-upstate	SC	General Acute Care Hospital	$0	$6.4M

Gregory Smith — Billing Profile & Reimbursement Data

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

Gregory Smith — Billing Profile & Reimbursement Data

Sign up for Gregory 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