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

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

Brian Smith (NPI 1770631715)

Field	Value
Entity Type	Individual
Organization	Brian Smith
Address	333 City Blvd W
City	Orange
State	CA
ZIP	92868
Taxonomy	Surgery Physician
NPI Enumerated	January 8, 2007

Payer Source	Total Paid
Medicare	$27K
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
43282	The provider performs repair of a paraesophageal hernia, where the stomach slides up next to the esophagus, using laparoscopy. He may also perform fundoplasty, wrapping part of the stomach around the…	10	$1,440	$17.3K
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…	30	$110	$3K
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…	30	$80	$2.5K
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	$120	$2.5K
99442	N/A	20	$50	$1.1K
43200	The provider passes a flexible endoscope through the mouth to collect specimens by brushing or washing for pathologic analysis.	20	$40	$610

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. California Distribution

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

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	31,011	37,970	120	$90	$23.2K
43282	15	20	10	$1,190	$19K
99215	11,975	15,360	50	$130	$14.4K
99204	11,263	19,360	40	$120	$7.2K
99442	2,186	3,530	30	$60	$4.1K
43200	2	10	20	$40	$790

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vivian Laquer	CA	Dermatology Physician	$94.8K	$1.7M
Tony Huynh	WA	Retina Specialist (Ophthalmology) Physician	$1.4M	$190
Lalita Pandit	CA	Hematology & Oncology Physician	$542.4K	$720.8K
Sherif Rezk	CA	Anatomic Pathology & Clinical Pathology Physician	$317.2K	$944.7K
Thu Tran	CA	Nurse Practitioner	$1.1M	$0
Glenn Balfour	CA	Neurology Physician	$1M	$40.4K
Misagh Karimi	CA	Hematology & Oncology Physician	$948.2K	$0
Maxwell Jen	CA	Emergency Medicine Physician	$869.2K	$36.2K
Steven Barnett	CA	Orthopaedic Surgery Physician	$623K	$0
Alexander Sweidan	CA	Pulmonary Disease Physician	$485.7K	$112K

Brian Smith — Billing Profile & Reimbursement Data

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Brian 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

Related Providers

Frequently Asked Questions

References