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

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

Edward Smith (NPI 1821278896)

Field	Value
Entity Type	Individual
Organization	Edward Smith
Address	2036 E Hackamore St
City	Mesa
State	AZ
ZIP	85213
Taxonomy	Internal Medicine Physician
NPI Enumerated	November 7, 2007

Payer Source	Total Paid
Medicare	$872.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
L8679	Implantable neurostimulator, pulse generator, any type	100	$7,700	$770K
64555	A neurostimulator includes electrodes which are inserted under the skin and induced by a generator to stimulate the nerve tissue. Use of this stimulator involves implantation of electrodes around a…	60	$1,660	$102.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Edward Smith — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
L8679	1	10	60	$7,630	$442.8K
64555	3	10	60	$2,020	$147.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Miller	AZ	Family Nurse Practitioner	$512.3K	$0
Jeffrey Keil	AZ	Medical Physician Assistant	$115.3K	$0
Todd Dreitzler	AZ	Family Medicine Physician	$26.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abc Care LLC	AZ	In Home Supportive Care Agency	$0	$45.1M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$59.9K	$16.1M
Emeritus Properties Ngh, LLC	AZ	Assisted Living Facility	$0	$9.5M
Agape Healing House, LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.3M
Arizona Intergrated Tele Psychiatry And Tele Medicine Services LLC	AZ	Adult Mental Health Clinic/Center	$0	$6.6M
Joseph Donaldson	AZ	Ophthalmology Physician	$850.2K	$0
Nachiket Patel	AZ	Interventional Cardiology Physician	$582.5K	$0
Surgery Center Of Mesa LLC	AZ	Ambulatory Surgical Clinic/Center	$482.6K	$0
David Shockey	AZ	Emergency Medicine Physician	$95K	$0
Laurie Giacoletto	AZ	Physician Assistant	$36.2K	$0

Edward Smith — Billing Profile & Reimbursement Data

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Edward 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

Nearby Providers

Frequently Asked Questions

References