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

    NPI 1043233786 · La Jolla, CA · Cardiovascular Disease Physician

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    Michael Smith is a cardiovascular disease physician provider located in La Jolla, California. This profile covers 28 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
    Address9898 Genesee Ave
    CityLa Jolla
    StateCA
    ZIP92037
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJuly 25, 2006

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

    Payer SourceTotal Paid
    Medicare$290K
    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,030$100$105.9K
    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…390$100$39.3K
    99215The 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…170$140$24.7K
    93351In this procedure, the provider performs continuous transthoracic echocardiography both at rest and after exercise and reviews images evaluating and assessing global and ventricular performance and…120$200$22.5K
    Q9957Injection, perflutren lipid microspheres, per ml530$40$18.6K
    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…110$130$14.4K
    J2785Injection, regadenoson, 0.1 mg270$40$11.8K
    93356The provider performs speckle tracking of myocardial mechanics to assess myocardial strain in addition to standard echocardiography.290$30$8.5K
    93308The 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…110$50$5.7K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…60$100$5.4K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306622,400240$110$34.1K
    992338,24711,530120$100$26.2K
    992147,14737,970120$90$23.2K
    J2785301710220$40$18.8K
    992326,70912,28090$70$16.3K
    992152,47515,36050$130$14.4K
    9921323,98534,66080$70$13.2K
    992239,70513,19050$140$11.3K
    933517680040$190$10.4K
    992054,4898,36030$170$7.2K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Scripps HealthCAGeneral Acute Care Hospital$0$64.2M
    Scripps HealthCAClinical Medical Laboratory$8.9M$301.7K
    Atul JainCAOphthalmology Physician$3.5M$0
    Darren SigalCAMedical Oncology Physician$2.9M$0
    David GreeneCARadiation Oncology Physician$2.3M$119.1K
    Munveer BhangooCAMedical Oncology Physician$2.3M$0
    Michael SamuelCARetina Specialist (Ophthalmology) Physician$2.2M$0
    Ryan GroverTNRadiation Oncology Physician$2.2M$0
    Scripps HealthCAAmbulatory Surgical Clinic/Center$2.2M$0
    Iain MacewanCARadiation Oncology Physician$2.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Anne HannekenCAOphthalmology Physician$2.1M$0
    Alan SavenCAHematology & Oncology Physician$1.7M$0
    Michael KostyCAHematology & Oncology Physician$1.5M$0
    Richard AbelloCADiagnostic Radiology Physician$1.5M$0
    Herman MillerCAInfectious Disease Physician$1.1M$0
    Alvin WyattCADiagnostic Radiology Physician$1.1M$0
    Ucsd Ambulatory Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$1.1M$0
    Scripps HealthCAClinical Medical Laboratory$978.1K$7.1K
    Hubert GreenwayCAMOHS-Micrographic Surgery Physician$941.9K$0
    Farah NasratyCAHematology & Oncology Physician$900.4K$0

    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. California Distribution
    Michael Smith — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California