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.

Kelly Smith (NPI 1902849474)

Field	Value
Entity Type	Individual
Organization	Kelly Smith
Address	6411 Fannin St
City	Houston
State	TX
ZIP	77030
Taxonomy	Anesthesiology Physician
NPI Enumerated	June 13, 2006

Payer Source	Total Paid
Medicare	$12.6K
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
00902	The provider performs anesthesia services for a procedure involving the anus or rectum.	90	$60	$5.1K
00910	The provider performs anesthesia services for a patient undergoing transurethral procedures including urethrocystoscopy. The surgical provider may examine the organs of the urinary system from within…	50	$50	$2.9K
00918	The provider performs anesthesia services for a patient undergoing fragmentation, manipulation, and/or removal of a ureteral calculus. The surgical provider accesses the ureter through the urethra,…	10	$90	$1.2K
00914	The provider performs anesthesia services for a patient undergoing removal of the prostate gland through the urethra, which is the opening for the outflow of urine.	10	$80	$940
00920	The provider performs anesthesia services for a patient undergoing a procedure on male genitalia that is not specified by any other anesthesia code. As part of the procedure, the provider may incise…	10	$80	$840
00142	The provider performs anesthesia services for a patient undergoing an eye lens procedure.	20	$50	$780
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	10	$70	$720

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

Kelly 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
00142	1,231	1,470	40	$70	$6.1K
00731	2,582	2,800	20	$80	$2.3K
00902	6	90	20	$70	$2K
00918	21	60	10	$90	$2K
00914	43	50	20	$110	$2K
00910	10	240	10	$60	$1.3K
00920	7	10	10	$70	$1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ut Physicians	TX	Anesthesiology Physician	$0	$94.4M
Andrew Khoury	TX	Pain Medicine (Anesthesiology) Physician	$328.6K	$0
Daniel Borman	NC	Anesthesiology Physician	$243.7K	$0
See Chin	TX	Pain Medicine (Anesthesiology) Physician	$119.9K	$0
Carolyn Watts	TX	Certified Registered Nurse Anesthetist	$108.3K	$0
Melanie Palasi	TX	Certified Registered Nurse Anesthetist	$93.2K	$0
Shanetra Hodge-hill	TX	Certified Registered Nurse Anesthetist	$81K	$0
Edwin Valverde	TX	Certified Registered Nurse Anesthetist	$80.7K	$0
David Isaacs	TX	Certified Registered Nurse Anesthetist	$72K	$0
Bilal Rana	TX	Anesthesiology Physician	$58K	$0

Kelly Smith — Billing Profile & Reimbursement Data

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Kelly 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