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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Daniel Mcginley-smith (NPI 1699827428)

Field	Value
Entity Type	Individual
Organization	Daniel Mcginley-smith
Address	45 Lyme Rd Ste 304
City	Hanover
State	NH
ZIP	03755
Taxonomy	Dermatology Physician
NPI Enumerated	January 18, 2007

Payer Source	Total Paid
Medicare	$461.3K
Medicaid	$0

Key Findings

This clinician’s billing mix is consistent with a procedure-focused dermatology practice: high-volume evaluation and management visits (99214, 99213) sit alongside large numbers of lesion destructions and biopsies (17000, 11102, 11301), indicating a blended clinic workflow of office-based patient management and frequent minor procedures. The presence of both premalignant destruction codes and malignancy destruction codes suggests routine lesion triage and outpatient surgical treatment as core services rather than purely consultative dermatology.

Revenue concentration is high within a few Medicare codes: the top 3 Medicare codes (99214 $100.5K, 99213 $61.1K, 17000 $49.7K) account for 45.9% of this provider's total Medicare revenue, signalling that a small set of services drives nearly half of Medicare receipts. That concentration implies operational dependence on established‑patient E&M and lesion‑destruction procedures for revenue generation.

Payer mix is effectively single‑payer Medicare: total Medicare revenue is $461.3K and there is no Medicaid billing on file, so the provider’s public‑payer exposure is concentrated entirely in Medicare. The absence of Medicaid billing suggests limited engagement with the Medicaid population in‑state and a patient panel skewed toward Medicare beneficiaries.

For core E&M codes this provider is a national high‑volume outlier: 99214 ranks #7913 of 479517 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code) and 99213 ranks #7211 of 457151 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code). These standings indicate the provider sees substantially more established‑patient office visits than most peers, which may reflect clinic throughput, scheduling emphasis on return visits, or regional referral patterns.

Procedure volumes underscore a high procedural throughput model: 17000 has 1.6K claims with $49.7K revenue and is listed as an extreme outlier (ranks #191 of 21879 providers nationally, 99th percentile), while the add‑on 17003 appears with 4.5K claims and $22.5K revenue and is described as notably above typical national volume. Similarly, skin biopsy volumes are elevated (11102: 822 claims, $46.9K revenue; ranks #323 of 18797, 98th percentile; extreme outlier), reinforcing that many patient encounters result in diagnostic or destructive procedures.

The code mix includes both premalignant destruction (17000, 17003, 17004) and malignant lesion treatment codes (17262, 17282, 17272), with 17262 producing $17.7K of Medicare revenue. This distribution indicates the practice manages a spectrum from routine lesion destruction to treatment of confirmed or suspected malignancies in the office setting.

Tenure is long enough to suggest an established local presence: the NPI was enumerated on 2007-01-18 (~19 years ago). That long enumeration period combined with concentrated Medicare revenue and high national percentiles on key codes suggests a stable practice rather than a recent entrant.

From a contracting and network perspective, the absence of any Medicaid billing (none below) paired with $461.3K in Medicare receipts means the provider carries concentrated payer risk in Medicare. For payers and network planners this pattern flags a provider with strong Medicare volume but minimal Medicaid footprint, which could affect negotiations, access planning, and strategies for expanding care to Medicaid populations.

Medicare: Complete Services Breakdown

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

25 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…	1,160	$90	$100.5K
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…	950	$60	$61.1K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	1,600	$30	$49.7K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	820	$60	$46.9K
11301	The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the skin of the trunk, arms, or legs.	550	$80	$44.2K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	430	$60	$27.8K
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	4,510	$10	$22.5K
17262	The provider destroys a malignant lesion on the trunk, arms, or legs using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion is 1.1 cm to 2.0 cm in…	160	$110	$17.7K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	150	$120	$17.2K
11306	The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the skin of the scalp, neck, hands, feet, or genitals.	110	$90	$9.2K

Showing 1–10 of 25

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Hampshire Distribution

Daniel Mcginley-smith — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. state median

25 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	14	3,150	110	$80	$13.2K
17000	2	120	190	$40	$11.4K
11102	2	100	120	$60	$9.6K
17110	2	110	110	$70	$9.4K
12032	28	40	20	$180	$7.4K
99213	18	2,900	70	$50	$6.9K
11301	1	20	40	$70	$6.5K
17004	4	50	30	$110	$6.4K
99204	312	1,340	30	$100	$4.6K
17262	1	40	30	$100	$4.6K

Showing 1–10 of 25

Related Providers

Other providers that share a Tax Identification Number (TIN) with Daniel Mcginley-smith, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The New London Hospital Association, Inc.	NH	Multi-Specialty Clinic/Center	$0	$3M
The New London Hospital Association, Inc.	NH	Critical Access Hospital	$0	$2.6M
Timothy Lonesky	KY	Rheumatology Physician	$1.5M	$0
Garrett Bomba	NH	Emergency Medicine Physician	$513.6K	$18.9K
James Dolan	NH	Podiatrist	$251.8K	$0
Sandip Patel	AZ	Nephrology Physician	$238.3K	$0
Doreen Bett	PA	Nephrology Physician	$194.9K	$0
David Lawlor	NH	Ophthalmology Physician	$180.1K	$5.1K
Neeraj Vasishtha	NH	Pulmonary Disease Physician	$179.9K	$0
Vicki Anderson	NH	Clinical Psychologist	$30.5K	$147.1K

Nearby Providers

Other providers in the same ZIP code as Daniel Mcginley-smith, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Becket Academy, Inc.	NH	Foster Care Agency	$0	$31.3M
Belonging Medical Group PLLC	NH	General Practice Physician	$0	$13.5M
Adam Schwarz	NH	Internal Medicine Physician	$244.9K	$0
Kerry O'hara	NH	Adult Health Nurse Practitioner	$193.7K	$0
Christine Medora	NH	Internal Medicine Physician	$171K	$0
Town Of Hanover	NH	Ambulance	$161.2K	$1.8K
Cvs Manchester Nh, L.L.C.	NH	Pharmacy	$151K	$0
Rebecca Wood	NH	Internal Medicine Physician	$119.6K	$0
Fred W. Salvatoriello Dmd PA	NH	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$86.6K
Hanover School District	NH	Local Education Agency (LEA)	$0	$75.5K

Daniel Mcginley-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