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

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

Ryan Smith (NPI 1750600797)

Field	Value
Entity Type	Individual
Organization	Ryan Smith
Address	1215 E Michigan Ave
City	Lansing
State	MI
ZIP	48912
Taxonomy	Neurology Physician
NPI Enumerated	May 28, 2010

Payer Source	Total Paid
Medicare	$26.2K
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
99204	The provider sees a new 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 provider…	100	$90	$9.1K
64615	The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…	100	$80	$8.1K
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…	80	$60	$4.6K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	10	$130	$1.8K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	20	$90	$1.4K
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…	30	$40	$1.1K

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. Michigan Distribution

Ryan Smith — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	8,156	15,470	80	$80	$11.4K
99213	11,592	14,810	60	$60	$6.6K
99215	3,691	4,420	30	$110	$6K
64615	3	40	40	$100	$5.4K
99205	1,274	1,680	20	$150	$4.3K
99204	385	6,280	30	$110	$4.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edward W Sparrow Hospital Association	MI	General Acute Care Hospital	$0	$126M
Residential Options, Inc.	MI	Behavior Analyst	$0	$53.8M
Lansing Urgent Care Plc	MI	Urgent Care Clinic/Center	$0	$27.5M
Vituity - Michigan Em PC	MI	Emergency Medicine Physician	$0	$9.9M
Lansing Radiology Associates P C	MI	Diagnostic Radiology Physician	$0	$8.2M
Epmg Western Michigan PLLC	MI	Emergency Medicine Physician	$0	$7.4M
Edward W. Sparrow Hospital Association	MI	Obstetrics & Gynecology Physician	$0	$5.8M
Lansing Mercy Ambulance Service, Inc.	MI	Land Ambulance	$466.7K	$2.3M
Christopher Sweet	MI	Diagnostic Radiology Physician	$1.3M	$0
Lake Lansing Asc Partners LLC	MI	Ambulatory Surgical Clinic/Center	$373.3K	$263.6K

Ryan Smith — Billing Profile & Reimbursement Data

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Ryan 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