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

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

Matthew Smith (NPI 1942542212)

Field	Value
Entity Type	Individual
Organization	Matthew Smith
Address	1550 N 115th St
City	Seattle
State	WA
ZIP	98133
Taxonomy	Vascular Surgery Physician
NPI Enumerated	March 25, 2013

Payer Source	Total Paid
Medicare	$44.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93978	The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess…	190	$30	$5.6K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	220	$30	$5.4K
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…	70	$70	$5.2K
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…	50	$90	$5.1K
93925	The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…	80	$30	$2.6K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	70	$30	$2.3K
99204	The provider sees a new 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 provider…	20	$100	$2.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10	$150	$2.1K
37252	In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their…	20	$70	$1.7K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$110	$1.7K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Matthew Smith — 0 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	7,335	10,860	100	$80	$13.6K
37252	3	10	20	$390	$8.6K
99232	2,808	3,100	70	$60	$7.5K
93978	10	90	40	$90	$6.9K
99213	4,206	9,690	60	$60	$6.5K
99223	2,179	2,570	30	$130	$6.4K
37253	4	10	40	$120	$5.9K
93925	18	140	30	$130	$5.6K
99204	2,950	4,750	30	$110	$5.2K
93880	81	320	40	$80	$5.1K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Washington	WA	General Acute Care Hospital	$0	$129.5M
Harborview Medical Center	WA	General Acute Care Hospital	$0	$128.2M
The Association Of University Physicians	WA	Anesthesiology Physician	$0	$66.3M
University Of Washington	WA	Clinical Medical Laboratory	$1.5M	$36.6M
Uw School Of Dentistry	WA	Dentist	$0	$23.4M
Uw Medicine Northwest	WA	General Acute Care Hospital	$0	$5.7M
University Of Washington	WA	Oral and Maxillofacial Surgery (Dentist)	$0	$2.7M
Ariel Tyring	WA	Ophthalmology Physician	$1.5M	$0
Mariam Shehata	WA	Diagnostic Radiology Physician	$568.5K	$0
Yuli Mccann	WA	Rheumatology Physician	$469.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neighborcare Health	WA	Federally Qualified Health Center (FQHC)	$0	$16.2M
International Community Health Services	WA	Federally Qualified Health Center (FQHC)	$0	$11.5M
Shoreline Fire Department	WA	Land Ambulance	$350.3K	$10.2M
Northwest Kidney Centers	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.7M
Therapeutic Health Services	WA	Methadone Clinic	$0	$3.3M
David Drucker	WA	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Sharel Ongchin	WA	Ophthalmology Physician	$1.3M	$0
Kristi Bailey	WA	Ophthalmology Physician	$937.7K	$0
Vinod Doreswamy	WA	Allergy & Immunology Physician	$702.1K	$0
Megan Shaw	WA	Rheumatology Physician	$466.2K	$0

Matthew Smith — Billing Profile & Reimbursement Data

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Matthew 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