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

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

Robert S. Smith Md, Inc (NPI 1730262759)

Field	Value
Entity Type	Organization
Organization	Robert S. Smith Md, Inc
Address	11390 Old Roswell Rd Ste 100
City	Alpharetta
State	GA
ZIP	30009
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	October 23, 2006

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	62,130	$40	$2.3M
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	27,790	$30	$750.4K
88313	The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…	21,100	$20	$422K
88312	The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…	2,640	$20	$39.6K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Georgia Distribution

Robert S. Smith Md, Inc — 3 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	3	60	840	$30	$262.7K
88312	The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…	6	20	110	$30	$212.5K
88313	The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…	2	20	80	$20	$60.6K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	1	30	320	$30	$59.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeremiah Watkins	TX	Anatomic Pathology & Clinical Pathology Physician	$1.4M	$0
Laura Michael	GA	Anatomic Pathology Physician	$1.3M	$71.5K
Hung-wei Lee	FL	Anatomic Pathology & Clinical Pathology Physician	$396.7K	$0
Tara Chang	GA	Anatomic Pathology & Clinical Pathology Physician	$325.1K	$28.9K
Thomas Orourke	GA	Anatomic Pathology Physician	$301.6K	$0
Robert Smith	GA	Anatomic Pathology Physician	$0	$297.1K
Deloar Hossain	VA	Anatomic Pathology & Clinical Pathology Physician	$178.4K	$0
Aaron Leifer	GA	Anatomic Pathology & Clinical Pathology Physician	$150.6K	$0
Neha Varshney	MS	Anatomic Pathology & Clinical Pathology Physician	$36K	$0

Nearby Providers

Other providers in the same ZIP code as Robert S. Smith Md, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Public Partnerships LLC	GA	Supports Brokerage Agency	$0	$522.8M
Public Partnerships LLC	GA	Supports Brokerage Agency	$0	$7.2M
Milton Hall Surgical Associates, LLC	GA	Specialist	$0	$3.8M
Public Partnerships LLC	GA	In Home Supportive Care Agency	$0	$3.1M
Jeremy Alexander	GA	General Practice Dentistry	$0	$1.7M
Chattahoochee Physicians Laboratory Services, LLC	GA	Clinical Medical Laboratory	$388.1K	$810.5K
A Smile 4 U	GA	General Practice Dentistry	$0	$1.1M
Kishore Rasamallu	GA	Internal Medicine Physician	$1M	$0
Madhu Reddy	GA	Nephrology Physician	$229.9K	$0
Shyla Reddy	GA	Geriatric Medicine (Family Medicine) Physician	$228.2K	$0

Robert S. Smith Md, Inc — Billing Profile & Reimbursement Data

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Robert S. Smith Md, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References