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

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

Eric Smith (NPI 1952789976)

Eric Smith is a cardiovascular disease physician provider located in Ann Arbor, Michigan. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Eric Smith
Address	1500 E Medical Center Dr
City	Ann Arbor
State	MI
ZIP	48109
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	May 11, 2015

Payer Source	Total Paid
Medicare	$39.6K
Medicaid	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	400	$50	$20.4K
76377	In this procedure, the provider performs interpretation and reporting for computed tomograph, magnetic resonance imaging, ultrasound, or other tomographic modality under concurrent supervision with…	190	$30	$5.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	20	$120	$2.8K
93312	In this procedure, the provider performs transesophageal echocardiography, or TEE, with multiple transducers, or probes, or a rotating transducer to obtain a two–dimensional (2D) image of the heart.…	30	$80	$2.5K
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…	30	$70	$2.3K
93356	The provider performs speckle tracking of myocardial mechanics to assess myocardial strain in addition to standard echocardiography.	240	$10	$2.2K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	10	$140	$1.9K
93308	The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused…	40	$20	$680
93350	In this procedure, the provider performs transthoracic echocardiography both at rest and after exercise to review images. He evaluates and assesses global and ventricular performance and cardiac…	10	$60	$610
93321	The provider performs Doppler echocardiography using pulsed wave and/or continuous wave with a spectral display for a follow–up or limited study. The ultrasound involves the continuous generation of…	50	$10	$320

Showing 1–10 of 12

Eric 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

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	103	750	190	$70	$16.4K
99214	11,926	15,470	80	$80	$11.4K
99215	2,671	4,420	30	$110	$6K
99205	1,274	1,680	20	$150	$4.3K
93312	96	330	20	$80	$2.2K
76377	10	260	30	$30	$1.7K
93350	97	110	20	$50	$1.2K
93356	6	140	60	$10	$1.1K
93308	160	440	30	$20	$760
93320	209	280	20	$20	$470