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

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

Douglas Smith (NPI 1841433844)

Field	Value
Entity Type	Individual
Organization	Douglas Smith
Address	1631 Lancaster Dr Ste 230
City	Grapevine
State	TX
ZIP	76051
Taxonomy	Orthopaedic Trauma Physician
NPI Enumerated	April 7, 2009

Payer Source	Total Paid
Medicare	$75.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27245	In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…	40	$950	$33.2K
27236	In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to…	30	$910	$24.5K
27235	In this procedure, the provider treats a femur neck fracture, or a fracture in the upper end of the femur, using screws and pins through the skin.	20	$680	$14.3K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$100	$1.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$40	$800
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	10	$60	$710
72190	In this procedure, the provider takes a minimum three X–ray images of the pelvic bone to check for any fracture, swelling, or reason of pain in the pelvic area.	20	$30	$540

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Douglas Smith — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27245	9	180	20	$800	$15.2K
27236	16	130	10	$790	$13.4K
27235	1	10	20	$690	$11.7K
99222	6,353	7,910	30	$100	$4.9K
99212	3,631	5,510	30	$40	$2.2K
99221	942	1,130	20	$60	$2K
72190	53	70	20	$30	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gautam Patankar	TX	Cardiovascular Disease Physician	$936.3K	$0
John O'connor	TX	Radiation Oncology Physician	$671K	$0
Charles Lee	TX	Radiation Oncology Physician	$564K	$0
Michael Carley	TX	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$521.8K	$0
Revathi Angitapalli	TX	Hematology & Oncology Physician	$350.8K	$0
Fayez Raza	TX	Cardiovascular Disease Physician	$323.5K	$0
Muriel Boreham	TX	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$310.7K	$0
David Scheid	TX	Internal Medicine Physician	$176.6K	$0
Poorya Fazel	OK	Interventional Cardiology Physician	$158.2K	$0
Shayzreen Roshanravan	TX	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$151.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tqc, LLC	TX	Community/Behavioral Health Agency	$0	$12.4M
Jds Labs LLC	TX	Clinical Medical Laboratory	$6.1M	$312.5K
Barry Firstenberg	TX	Hematology & Oncology Physician	$985K	$0
Saira Momin	TX	MOHS-Micrographic Surgery Physician	$674.7K	$0
Lonestar Ambulatory Surgical Center	TX	Ambulatory Surgical Clinic/Center	$564K	$0
Raul Santos	TX	Cardiovascular Disease Physician	$471.7K	$0
Nathan Graves	TX	Urology Physician	$449.7K	$0
Sonal Patel	TX	Optometrist	$392.9K	$0
Virginia Morgan	TX	Family Nurse Practitioner	$388.5K	$0
Kevin Theleman	TX	Cardiovascular Disease Physician	$381.7K	$0

Douglas Smith — Billing Profile & Reimbursement Data

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Douglas 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