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

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

Sarah Smith (NPI 1871987826)

Field	Value
Entity Type	Individual
Organization	Sarah Smith
Address	623 N Commercial Dr
City	Gillette
State	WY
ZIP	82716
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	March 26, 2015

Payer Source	Total Paid
Medicare	$40.5K
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
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	210	$90	$19.6K
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…	160	$70	$10.5K
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…	70	$100	$7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	30	$70	$1.6K
99205	The provider sees a new 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 provider…	10	$120	$1.5K
Q3014	Telehealth originating site facility fee	20	$10	$220

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. Wyoming Distribution

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

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	29	60	200	$90	$21K
99214	280	780	100	$80	$14.8K
99215	65	220	40	$120	$8.3K
90834	22	20	110	$60	$7.6K
99205	69	80	20	$150	$6.3K
Q3014	2	10	20	$20	$390

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Solutions, LLC	WY	Community/Behavioral Health Agency	$0	$281.2K
Trent House	WY	Clinical Social Worker	$12K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Davis Home Health LLC	WY	Home Health Agency	$0	$3.5M
Youth Emergency Services, Inc.	WY	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$2.4M
Campbell County Hospital District	WY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$2.3M
Campbell County Hospital District	WY	General Acute Care Hospital	$0	$1.9M
Big Horn Pediatrics	WY	Pediatrics Physician	$0	$1.5M
Campbell County Hospital District	WY	Urgent Care Clinic/Center	$0	$1.1M
Ladeana Brown	WY	Case Management Agency	$0	$1M
Campbell County Hospital District	WY	Pediatrics Physician	$0	$998.4K
Campbell County Hospital District	WY	Emergency Medicine Physician	$0	$964.2K
Powder River Surgery Center	WY	Ambulatory Surgical Clinic/Center	$830K	$0

Sarah Smith — Billing Profile & Reimbursement Data

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Sarah 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