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    OpenPayerNPI Medicare & MedicaidJordan Smith
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    Jordan Smith — Billing Profile & Reimbursement Data

    NPI 1013514553 · Flowood, MS · Family Nurse Practitioner

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    Jordan Smith is a family nurse practitioner provider located in Flowood, Mississippi. This profile covers 27 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJordan Smith
    Address2550 Flowood Dr Ste 300
    CityFlowood
    StateMS
    ZIP39232
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedOctober 7, 2020

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$0

    Key Findings

    This provider is effectively single-payer in the available data: lifetime Medicare revenue is $1.1M and there is no Medicaid billing on file, so Medicaid does not contribute to this provider’s documented public-payer volume. Analysts should treat Medicare activity as the sole source of federal claims when modeling payer mix or estimating public-coverage patient volume for this NPI.

    Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 66.3% of the provider's total Medicare revenue, indicating reliance on a small set of drugs/services for most Medicare receipts. Those dominant codes are high-cost drug administrations (see J1602, J0129, J1745) rather than routine office visits, which shapes the business model toward infusion/biologic administration.

    The code mix indicates a specialty infusion/biologic administration operation under a Family Nurse Practitioner taxonomy: the largest revenue drivers are J1602, J0129, and J1745 (golimumab, abatacept, infliximab), together producing the majority of Medicare revenue. Substantial claim volumes for these injectable biologics and supporting chemotherapy/infusion codes (96413, 96401, 96415) suggest episodic infusion treatments are the core service line rather than primary-care office-based evaluation and management.

    Competitive standing on the top drug codes is mixed: for J1602 the provider ranks #106 of 1041 (90th percentile), which positions them as a relatively high-volume national participant for that drug; by contrast J0129 ranks #700 of 1221 (43th percentile) and J0717 and J3262 sit in lower percentiles (20th and 17th respectively), indicating more modest or typical participation for those agents. Overall, the provider is a notable but not dominant national player on at least one high-revenue biologic and a routine-volume participant on several others.

    Routine E/M and lab services appear secondary to infusion work. 99213 generated $52.5K (4.5% of Medicare revenue) but is flagged as an “extreme outlier, far above typical national volume” (rank #4898 of 457151, 99th percentile), implying unusually high office-visit billing relative to peers even though it represents a small share of total revenue. Multiple common lab CPTs (80076, 86140, 85652 and others) show high-percentile ranks (mostly in the 90s), indicating frequent on-site or ordered lab testing that supports infusion/therapy monitoring.

    Infusion and chemotherapy administration codes appear consistently used: 96413 ($32K, 2.7% of Medicare revenue) ranks in the 89th percentile nationally and other chemotherapy administration/add-on codes (96401, 96415) also appear among top line items. This pattern reinforces that the practice performs a nontrivial volume of infusion or injectable therapy sessions rather than exclusively dispensing single-dose injections.

    Tenure is moderate: the NPI was enumerated on 2020-10-07 (~6 years ago). With about six years of active enrollment, the provider has built a concentrated biologic/infusion revenue stream in a relatively short practice lifespan, which is relevant when evaluating growth or market entry timing.

    Given the absence of Medicaid billing on file, payers evaluating network inclusion or risk should recognize that this provider’s public-payer exposure is concentrated in Medicare biologics and infusion services; commercial or self-pay activity is not visible here and would need to be corroborated with additional data sources if relevant to network or contracting decisions.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1602Injection, golimumab, 1 mg, for intravenous use36,310$10$399.5K
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)7,200$30$237.6K
    J1745Injection, infliximab, excludes biosimilar, 10 mg5,340$30$138.8K
    J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)25,600$1$102.4K
    J3262Injection, tocilizumab, 1 mg18,600$10$93K
    J0897Injection, denosumab, 1 mg3,660$20$65.9K
    99213The 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…1,120$50$52.5K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…460$70$32K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,060$10$8.5K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…1,050$10$8.4K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01297108,840$30$367.2K
    J326271055,080$1$299.4K
    J160231018,250$10$265.7K
    J071771036,000$1$144.1K
    J0897451103,030$20$95.7K
    J17454202,470$30$87.5K
    964131870100$80$22.6K
    99213834,000100$50$10.3K
    96401196080$50$7.1K
    964151840130$20$2.7K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sharon HongMSRheumatology Physician$2.1M$0
    Teresa CroutMSRheumatology Physician$1.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rem East LLCMSCommunity/Behavioral Health Agency$0$97M
    Love And Faith Personal Care And Respite ServicesMSHome Health Agency$0$24.3M
    M-d Medical Services, Inc.MSParenteral & Enteral Nutrition Supplies (DME)$0$18M
    River Oaks Hospital LLCMSGeneral Acute Care Hospital$0$16.6M
    National Seating & Mobility, Inc.MSDurable Medical Equipment & Medical Supplies$0$12.5M
    Madison Physician Surgery Center, LLCMSAmbulatory Surgical Clinic/Center$12.3M$30.3K
    Mobility Medical IncMSOxygen Equipment & Supplies (DME)$0$10.4M
    Prescribed Pediatric Extended Care, IncMSMedically Fragile Infants and Children Day Care$0$9.5M
    Women's Health Associates, PLLCMSObstetrics & Gynecology Physician$0$9.4M
    Rem East LLCMSDevelopmentally Disabled Services Day Training Agency$0$7.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Mississippi Distribution
    Jordan Smith — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi