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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Smith
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    Michael Smith — Billing Profile & Reimbursement Data

    NPI 1033102413 · Greenville, NC · Cardiovascular Disease Physician

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    Michael Smith is a cardiovascular disease physician provider located in Greenville, North Carolina. This profile covers 24 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
    OrganizationMichael Smith
    Address850 W H Smith Blvd
    CityGreenville
    StateNC
    ZIP27834
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedAugust 31, 2005

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

    Payer SourceTotal Paid
    Medicare$206.9K
    Medicaid$0

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…860$90$74K
    93306The 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$90$35.8K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…110$190$21.9K
    99204The 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…160$120$18.5K
    A9500Technetium tc-99m sestamibi, diagnostic, per study dose120$90$10.6K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.1,360$10$8.1K
    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…130$60$7.7K
    J2785Injection, regadenoson, 0.1 mg180$40$7.4K
    93307The provider uses transducers to obtain a two–dimensional (2D) echocardiogram of the heart structures through the chest wall. This study includes visualization of heart chambers, valves, blood flow,…60$100$6K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…540$10$5.4K

    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

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306164770210$80$19.3K
    9921442618,060110$80$15.1K
    7845210848060$170$14.3K
    A950085200100$80$11.5K
    J2785111250160$40$9.9K
    992323,1405,69070$60$8.1K
    992134,73416,32070$50$7.1K
    992042488,43030$110$4.8K
    9301517820050$50$3.4K
    992221,2623,34020$90$3.3K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vidant Medical Group LLCNCMulti-Specialty Clinic/Center$0$78M
    Pitt County Memorial Hospital, IncNCGeneral Acute Care Hospital$0$60.3M
    East Carolina UniversityNCInternal Medicine Physician$0$53.7M
    East Carolina UniversityNCPediatrics Physician$0$22.8M
    Pitt County Memorial Hospital IncNCAmbulance$0$15.6M
    Eastern Radiologists IncNCDiagnostic Radiology Physician$0$14.3M
    Duplin General Hospital IncorporatedNCGeneral Acute Care Hospital$0$13.6M
    East Carolina Health - Heritage IncNCGeneral Acute Care Hospital$0$12.9M
    East Carolina UniversityNCObstetrics & Gynecology Physician$0$12.3M
    East Carolina Health - Chowan IncNCCritical Access Hospital$0$9.5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Paradigm, Inc.NCCommunity/Behavioral Health Agency$0$37.8M
    Better Connections, Inc.NCCommunity/Behavioral Health Agency$0$25.4M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$25M
    Pediatric Services Of America, LLCNCNursing Care Agency$0$15.6M
    Greenville Pediatric Services, IncNCPediatrics Physician$0$10.9M
    Health-pro Homecare Services, Inc.NCHome Health Agency$0$10M
    East Carolina UniversityNCFamily Medicine Physician$0$9.5M
    Idella's Care Homes LLCNCCommunity/Behavioral Health Agency$0$8.3M
    Infiniti Home Care, LLCNCIn Home Supportive Care Agency$0$7.8M
    Surgicenter Of Eastern Carolina LLCNCAmbulatory Surgical Clinic/Center$2.6M$4.6M

    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. North Carolina Distribution
    Michael Smith — 4 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina