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.

Thomas Smith (NPI 1952343055)

Field	Value
Entity Type	Individual
Organization	Thomas Smith
Address	2418 Cornhusker Rd
City	Bellevue
State	NE
ZIP	68123
Taxonomy	Neurology Chiropractor
NPI Enumerated	June 12, 2006

Payer Source	Total Paid
Medicare	$58.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
98940	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.	2,400	$20	$43.2K
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	600	$30	$16.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nebraska Distribution

Thomas Smith — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
98941	136	430	370	$30	$15.2K
98940	3	190	170	$20	$5.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bellevue Medical Center LLC	NE	General Acute Care Hospital	$0	$7.2M
Bellevue Primary Healthcare PC	NE	Family Medicine Physician	$0	$1.5M
Angeli Thakker	NE	Pediatric Dentistry	$0	$888.7K
May Medical, Inc.	NE	Durable Medical Equipment & Medical Supplies	$0	$795.7K
Shoptikal LLC	NE	Eyewear Supplier	$0	$668.2K
Michelle Hinze	NE	Foot & Ankle Surgery Podiatrist	$538.3K	$0
Schlueter Optometric Corporation	NE	Optometrist	$0	$450.3K
John Cimino	NE	Cardiovascular Disease Physician	$247.6K	$0
Urban Eyes PC	NE	Optometrist	$0	$246.7K
John Harris	NE	Internal Medicine Physician	$214.5K	$0

Thomas Smith — Billing Profile & Reimbursement Data

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Thomas 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

Nearby Providers

Frequently Asked Questions

References