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

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

Ryan Smith Counseling Services, LLC (NPI 1912323221)

Field	Value
Entity Type	Organization
Organization	Ryan Smith Counseling Services, LLC
Address	3000 2nd Ave
City	Kearney
State	NE
ZIP	68847
Taxonomy	Mental Health Counselor
NPI Enumerated	March 11, 2014

Payer Source	Total Paid
Medicaid	$459K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,980	$100	$292.2K
90832	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…	1,510	$60	$96.7K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	810	$50	$37.3K
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…	730	$50	$32.8K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.

Claims Volume vs. Nebraska Distribution

Ryan Smith Counseling Services, LLC — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	342	700	660	$70	$305.1K
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…	79	510	450	$100	$168.1K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	25	60	390	$50	$121.8K
90832	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…	11	130	140	$60	$36.4K

Nearby Providers

Other providers in the same ZIP code as Ryan Smith Counseling Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Good Samaritan Hospital	NE	General Acute Care Hospital	$0	$9.8M
Alpha Rehabilitation, P.C.	NE	Rehabilitation Clinic/Center	$0	$1.2M
Overland Trails Renal Care Group, LLC	NE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M
Michael Burke, Psy.d. And Associates, P.C.	NE	Mental Health Counselor	$0	$957.7K
Anne Marie Dale	NE	Professional Counselor	$0	$899.7K
Apollo Medflight, LLC	NE	Air Ambulance	$745.5K	$56.7K
First Care Medical, PC	NE	Clinic/Center	$0	$725.6K
Kearney Pain Treatment Center, LLC	NE	Ambulatory Surgical Clinic/Center	$620.3K	$0
Tooth Fairy PC	NE	Pediatric Dentistry	$0	$523.8K
Serene Mental Health Clinic LLC	NE	Adult Mental Health Clinic/Center	$0	$448.1K

Ryan Smith Counseling Services, LLC — Billing Profile & Reimbursement Data

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Ryan Smith Counseling Services, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References