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NPI 1033190079 · Chicago, IL · Podiatrist
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Carlos Smith is a podiatrist provider located in Chicago, Illinois. This profile covers 15 Medicare and 5 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Carlos Smith |
| Address | 1301 E 47th St Bldg 2 |
| City | Chicago |
| State | IL |
| ZIP | 60653 |
| Taxonomy | Podiatrist |
| NPI Enumerated | November 8, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $214.1K |
| Medicaid | $9.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 700 | $100 | $71.3K |
| 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… | 860 | $70 | $61.8K |
| 11730 | The provider removes part or all of a single nail plate using simple avulsion techniques. | 270 | $90 | $23.9K |
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 140 | $110 | $14.7K |
| 99203 | The provider sees a new 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 provider… | 120 | $90 | $10.8K |
| 76881 | In this procedure, the provider uses ultrasound to examine the complete joint for any defect or abnormality. The image appears in real time on a monitor, and a permanent image with interpretation is… | 180 | $40 | $7.5K |
| 11732 | The provider removes part or all of an additional nail plate after the first using simple avulsion techniques. | 260 | $30 | $7K |
| 73718 | In this diagnostic procedure, the provider performs a magnetic resonance imaging study of a patient’s lower extremity other than a joint, without the use of contrast material. | 30 | $190 | $5.1K |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 110 | $30 | $3K |
| 20605 | In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may… | 70 | $40 | $3K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 869 | 18,540 | 110 | $80 | $17.1K |
| 99223 | 6,021 | 6,190 | 50 | $140 | $10.4K |
| 11042 | 152 | 480 | 90 | $70 | $10.1K |
| 99213 | 288 | 17,390 | 70 | $60 | $8.8K |
| 11730 | 8 | 180 | 20 | $80 | $4.6K |
| 10060 | 104 | 130 | 20 | $90 | $4.5K |
| 99203 | 553 | 6,150 | 30 | $70 | $3.8K |
| 76881 | 7 | 60 | 30 | $40 | $3.8K |
| 11104 | 203 | 280 | 20 | $80 | $2.8K |
| 20550 | 299 | 350 | 30 | $40 | $2.2K |
Showing 1–10 of 15
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 2,180 | $1 | $6.5K |
| 11730 | The provider removes part or all of a single nail plate using simple avulsion techniques. | 370 | $1 | $1.1K |
| 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… | 190 | $1 | $560 |
| 11732 | The provider removes part or all of an additional nail plate after the first using simple avulsion techniques. | 360 | $1 | $360 |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 20 | $1 | $20 |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 8,686 | 14,680 | 300 | $50 | $48.7K |
| 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… | 1,876 | 14,190 | 280 | $20 | $38.9K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 342 | 370 | 400 | $10 | $8.9K |
| 11730 | The provider removes part or all of a single nail plate using simple avulsion techniques. | 11 | 30 | 140 | $20 | $7.7K |
| 11732 | The provider removes part or all of an additional nail plate after the first using simple avulsion techniques. | 3 | 10 | 360 | $10 | $3.4K |
Other providers in the same ZIP code as Carlos Smith, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Near North Health Service Corporation | IL | Federally Qualified Health Center (FQHC) | $0 | $12.6M |
| Access Community Health Network | IL | Federally Qualified Health Center (FQHC) | $0 | $5.4M |
| Cook County | IL | Primary Care Clinic/Center | $0 | $5.4M |
| Carolina Therapeutic Services, Inc | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $3.7M |
| Janita Simpkins | IL | Family Medicine Physician | $215.1K | $29.3K |
| Johnny Alexander | IL | Diagnostic Radiology Physician | $67.5K | $0 |
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