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

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

Mark Smith (NPI 1861479651)

Field	Value
Entity Type	Individual
Organization	Mark Smith
Address	4015 Lake Otis Pkwy Ste 201
City	Anchorage
State	AK
ZIP	99508
Taxonomy	Nephrology Physician
NPI Enumerated	December 22, 2005

Payer Source	Total Paid
Medicare	$144.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	150	$270	$39K
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…	430	$90	$37.4K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	40	$230	$9.9K
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…	160	$60	$9.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	110	$60	$6.4K
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…	50	$110	$5.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	40	$130	$4.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	560	$10	$4.5K
80069	The lab analyst performs a renal function panel test in which he measures the blood level of certain chemicals the descriptor lists to evaluate how well the kidney is functioning.	480	$10	$4.3K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	520	$10	$4.2K

Showing 1–10 of 28

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alaska Distribution

Mark Smith — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. state median

28 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	137	10	480	$350	$182K
90961	116	10	130	$290	$57.7K
99233	3,388	190	80	$120	$17.1K
99214	2,023	1,210	90	$100	$16.2K
90935	109	10	240	$70	$16.1K
99232	2,124	280	80	$80	$14K
99223	2,034	200	40	$170	$9.5K
99213	4,006	1,290	70	$70	$8.5K
99204	2,248	460	30	$140	$6.1K
80053	544	190	70	$10	$1.4K

Showing 1–10 of 28

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dialysis Associates Of Alaska, LLC	AK	Nephrology Physician	$0	$2M
Kidney And Hypertension Clinic Of Alaska, Inc	AK	Nephrology Physician	$0	$1.3M
Syed Babar	GA	Nephrology Physician	$514.3K	$0
David Lefler	AK	Nephrology Physician	$467.5K	$0
Stefano Emili	AK	Nephrology Physician	$425K	$0
Shuang Ying Bao	AK	Nephrology Physician	$421.6K	$0
Barton Brezina	GA	Nephrology Physician	$416.6K	$0
Thuy-trang Ngo	AK	Internal Medicine Physician	$345.8K	$0
Harold Hubert	GA	Nephrology Physician	$336.1K	$0
Devesh Patel	GA	Nephrology Physician	$285.3K	$0

Mark Smith — Billing Profile & Reimbursement Data

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Mark 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