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.

Smitha Mathew (NPI 1922769868)

Field	Value
Entity Type	Individual
Organization	Smitha Mathew
Address	2401 S 31st St
City	Temple
State	TX
ZIP	76508
Taxonomy	Family Nurse Practitioner
NPI Enumerated	January 3, 2022

Payer Source	Total Paid
Medicare	$64.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	420	$70	$29.7K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	250	$100	$25.2K
G0317	Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…	240	$20	$5K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	60	$50	$3.3K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	20	$90	$1.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Smitha Mathew — 0 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	661	1,840	240	$70	$35K
99310	154	860	80	$100	$19K
99497	872	2,400	40	$60	$4.8K
99316	162	240	30	$90	$3.4K
G0317	7	110	70	$20	$1.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hillary Drozd	TX	Family Nurse Practitioner	$900.5K	$0
William Morton	GA	Internal Medicine Physician	$479.3K	$0
Kenneth Santiago	SC	Internal Medicine Physician	$467.1K	$0
Vlastimil Smetka	SC	Family Medicine Physician	$457.3K	$0
Tamara Chittenden	NC	Internal Medicine Physician	$371.4K	$0
Pat Bass	LA	Internal Medicine Physician	$355.3K	$0
Brandon Haubner	NC	Family Medicine Physician	$301.7K	$0
Gregory Smith	SC	Psychiatric/Mental Health Nurse Practitioner	$221.1K	$0
Christopher Oldfield	GA	Family Medicine Physician	$217.7K	$0
Rhonda Wallace	SC	Family Medicine Physician	$203.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott & White Memorial Hospital	TX	General Acute Care Hospital	$0	$55.1M
Scott & White Clinic	TX	Internal Medicine Physician	$0	$45.6M
Nilan Naik	TX	Radiation Oncology Physician	$906.8K	$0
Matthew Jepson	TX	Internal Medicine Physician	$361.6K	$0
Johnny Ross	TX	Physical Medicine & Rehabilitation Physician	$322.1K	$0
Jeffrey Knabe	TX	Orthopaedic Surgery Physician	$284K	$0
Gregory Stenoien	TX	Diagnostic Radiology Physician	$275.1K	$0
Daniel Dubose	TX	Anesthesiology Physician	$242.1K	$0
Mehul Patel	TX	Radiation Oncology Physician	$231.8K	$0
Kirby Hitt	TX	Orthopaedic Surgery Physician	$223K	$0

Smitha Mathew — Billing Profile & Reimbursement Data

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Smitha Mathew — 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