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

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

Clayton Smith (NPI 1891088613)

Field	Value
Entity Type	Individual
Organization	Clayton Smith
Address	3333 Burnet Ave # Mlc2003
City	Cincinnati
State	OH
ZIP	45229
Taxonomy	Adult Congenital Heart Disease Physician
NPI Enumerated	May 26, 2011

Payer Source	Total Paid
Medicare	$4.8K
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
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	20	$160	$2.6K
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…	10	$70	$880
93320	The provider performs a complete Doppler echocardiography, which uses high–frequency sound waves to create a two–dimensional image of the heart, while the use of Doppler technology allows…	20	$40	$660
93356	The provider performs speckle tracking of myocardial mechanics to assess myocardial strain in addition to standard echocardiography.	10	$30	$360
93325	The provider performs Doppler echocardiography, a diagnostic procedure based on the Doppler effect of sound, color flow velocity mapping, a two–dimensional image representation of blood flow in the…	20	$20	$300
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	10	$1	$30

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. Ohio Distribution

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

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	19,654	20,010	100	$70	$11.7K
93303	4	10	20	$50	$1.2K
93356	182	200	30	$10	$640
93320	162	250	20	$10	$340
93005	70	80	20	$1	$330
93325	439	540	30	$1	$130

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital Medical Center Of Akron	OH	Children's Hospital	$0	$556.2M
Children's Hospital Medical Center	OH	Children's Hospital	$0	$386.8M
Children's Hospital Medical Center	OH	Pediatrics Physician	$0	$91.2M
Children's Hospital Medical Center Of Akron	OH	Pediatrics Physician	$0	$87.2M
Children's Hospital Medical Center	OH	Home Infusion Therapy Pharmacy	$0	$57M
Children's Hospital Medical Center	OH	Durable Medical Equipment & Medical Supplies	$0	$51.1M
Childrens Healthcare Of Atlanta Cardiology Inc	GA	Pediatric Cardiology Physician	$0	$28.2M
Children's Hospital Medical Center	OH	Home Health Agency	$0	$19.2M
Teladoc Health Medical Group, P.A.	TX	Family Medicine Physician	$0	$17.6M
Mercy Clinic Springfield Communities	MO	Family Medicine Physician	$0	$15.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Clinic Outpatient Services	OH	Mental Health Counselor	$0	$30.8M
Ohio First Home Healthcare Inc.	OH	Home Health Aide	$0	$14.2M
Children's Hospital Medical Center	OH	Pediatric Dentistry	$0	$11.6M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$619.7K	$4.9M
William Hansen	OH	Counseling Psychologist	$112.8K	$194.9K
Terri Mcmillan	OH	Allergy Physician	$67.8K	$0
Ann Orlet	OH	Certified Registered Nurse Anesthetist	$52.4K	$0
Rebecca Soward	OH	Physician Assistant	$37.8K	$0
Jennifer Estes	OH	Certified Registered Nurse Anesthetist	$36.4K	$0
Howard Melvin	OH	Ophthalmology Physician	$31K	$2.8K

Clayton Smith — Billing Profile & Reimbursement Data

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Clayton 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