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.

Jeffrey Smith (NPI 1821119660)

Field	Value
Entity Type	Individual
Organization	Jeffrey Smith
Address	3574 Sunset Blvd
City	West Columbia
State	SC
ZIP	29169
Taxonomy	Dermatology Physician
NPI Enumerated	April 2, 2007

Payer Source	Total Paid
Medicare	$2.6M
Medicaid	$0

Key Findings

This profile is effectively single‑payer at the state level: the provider reports Total Medicare revenue of $2.6M and has no Medicaid billing on file, so Medicare is the sole public payer contributing to the reported lifetime public-revenue picture. The absence of any Medicaid claims means analyses of in‑state payer behavior or Medicaid-network positioning are not possible from the available billing data.

Revenue is highly concentrated in a few product lines: the precomputed top‑3 Medicare codes account for 72.1% of this provider’s total Medicare revenue, driven by Q4180 ($732.1K, 28.2%), Q4229 ($656.6K, 25.3%), and 17311 ($480.1K, 18.5%). This concentration indicates that a small number of procedure/add‑on codes dominate the practice’s Medicare receipts and should be the focus of any contract or utilization review.

The clinical/service mix points to a procedure‑centric dermatology practice with heavy Mohs and advanced biologic/skin substitute utilization: 17311 and related Mohs codes (17312, 17313, 17314) make up a large share of revenue and volume, while Q4180 and Q4229 are amniotic/biologic membrane add‑on products that together represent over half of total Medicare revenue. Low relative revenue from office evaluation codes (for example 99213 at $59.7K, 2.3% and 99214 at $19.5K, 0.8%) reinforces that this operation is oriented toward procedures and surgical pathology rather than E&M‑driven throughput.

Competitive standing by code shows world‑class Mohs and biologic usage: 17312 ranks #27 of 2770 providers nationally (99th percentile, labeled an "extreme outlier, far above typical national volume") and 17311 ranks #74 of 2969 (98th percentile, "notably above typical national volume"), signaling unusually high Mohs procedural volumes relative to peers. Similarly, Q4229 ranks #3 of 46 providers nationally (96th percentile, "notably above typical national volume"), indicating the provider is a leading user of that specific amniotic membrane product at the national level.

Not all high‑revenue codes are extreme outliers: Q4180, despite producing $732.1K (28.2% of Medicare revenue), ranks #4 of 23 providers nationally at the 86th percentile and is characterized as typical/unremarkable volume for that code. This suggests that while Q4180 is a major revenue driver for this provider, its utilization looks within a broader national pattern for that product, and its dominance in dollar terms is partly a function of reimbursement level and claim counts rather than uniquely atypical national ranking.

Beyond the top three, the provider shows consistent above‑typical usage of several reconstructive and skin substitute codes (for example 15275 at $15.2K ranking #33 of 888, 96th percentile), which supports a sustained practice emphasis on surgical repair and biologic wound coverage. These complementarities—high Mohs volumes plus frequent skin substitute use—indicate an integrated workflow from excision to reconstruction and wound management that could be attractive for specialist networks and device/supply negotiations.

The provider’s NPI tenure is long and established: enumerated 2007-04-02 (~19 years ago), suggesting stable market presence and a long history of Medicare participation. This longevity, combined with concentrated high procedural volumes in Mohs and biologic products, supports the interpretation of an experienced, procedure‑focused dermatology practice rather than a new or transient billing pattern.

From a payer management perspective, the combination of concentrated revenue (72.1% in three codes), single‑payer dependency (Medicare only), and extreme‑percentile Mohs coding (17312 at the 99th percentile) flags two practical considerations: contracting/price negotiation should prioritize the top add‑ons and Mohs-related codes, and utilization monitoring should focus on those high‑ranked codes because changes in their use would materially affect overall Medicare spend with this provider.

Medicare: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4180	Revita, per square centimeter (add-on, list separately in addition to primary procedure)	1,980	$370	$732.1K
Q4229	Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	3,840	$170	$656.6K
17311	Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…	990	$480	$480.1K
17312	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	880	$300	$267.2K
17313	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	250	$460	$117.9K
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…	1,010	$60	$59.7K
13132	The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…	320	$180	$56.8K
17314	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	140	$290	$40.4K
13121	This is for a complex repair of a wound to the scalp, arms, and/or legs. This wound should be 2.6 to 7.5 cm in size.	140	$160	$23K
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…	240	$80	$19.5K

Showing 1–10 of 33

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Jeffrey Smith — 3 of 25 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

33 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4180	1	10	1,980	$370	$732K
Q4229	1	10	3,840	$170	$658.1K
17311	6	40	350	$430	$210.9K
17312	2	30	170	$300	$80.3K
17313	4	30	110	$420	$56.6K
13132	6	50	50	$230	$26.1K
99214	3,010	7,860	160	$80	$23.2K
14041	14	20	20	$640	$21.2K
11102	149	260	220	$60	$16.7K
17110	173	280	140	$70	$15.2K

Showing 1–10 of 33

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amylynne Frankel	SC	Dermatology Physician	$635.6K	$0
Larry Napolitano	NC	Dermatology Physician	$619.9K	$0
Christopher Thompson	SC	Medical Physician Assistant	$616.1K	$0
Matthew Miller	SC	Dermatology Physician	$474.1K	$0
Brent Taylor	FL	MOHS-Micrographic Surgery Physician	$426.1K	$0
William Chow	CA	Specialist	$387K	$0
Benjamin Addy	SC	Physician Assistant	$356.5K	$0
Euphemia Mu	NC	MOHS-Micrographic Surgery Physician	$335K	$0
Julie Jefferson	SC	MOHS-Micrographic Surgery Physician	$295.9K	$0
Leslie Poinsette	SC	Dermatology Physician	$276.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Palmetto Infusion Services LLC	SC	Infusion Therapy Clinic/Center	$0	$93.6M
Lexington Health Inc	SC	General Acute Care Hospital	$0	$27.4M
Lexington County Health Services District Inc	SC	General Acute Care Hospital	$0	$19.2M
United Cerebral Palsy Of South Carolina, Inc	SC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$15.7M
Palmetto Retina Center LLC	SC	Ophthalmology Physician	$0	$10.6M
Lexington Health Inc	SC	Emergency Medicine Physician	$0	$4.2M
Karen Park Family Dentistry, P.A.	SC	Dentist	$0	$4.2M
Lexington County Health Serv	SC	General Acute Care Hospital	$0	$4M
John Payne	SC	Ophthalmology Physician	$4M	$0
Steven Madden	SC	Hematology & Oncology Physician	$4M	$0

Jeffrey 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