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    OpenPayerNPI Medicare & MedicaidDanielle Smith
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    Danielle Smith — Billing Profile & Reimbursement Data

    NPI 1083131304 · Latrobe, PA · Family Nurse Practitioner

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    Danielle Smith is a family nurse practitioner provider located in Latrobe, Pennsylvania. This profile covers 4 Medicare and 2 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)

    FieldValue
    Entity TypeIndividual
    OrganizationDanielle Smith
    Address1 Mellon Way
    CityLatrobe
    StatePA
    ZIP15650
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedAugust 28, 2017

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

    Payer SourceTotal Paid
    Medicare$15.5K
    Medicaid$2.7K

    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.

    4 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…130$80$9.6K
    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…70$50$3.1K
    G0296Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)90$20$1.8K
    99406The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.70$10$880

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921410,18623,230100$80$14.5K
    9921311,06422,37070$60$7.7K
    G029654020$30$1K
    994061016020$10$450

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0296Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)70$30$2.2K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…10$40$510

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Pennsylvania median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…30937040$30$8.2K
    G0296Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)410210$30$7.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Straight Line ArlaTXPsychiatry Physician$242.4K$1M
    Marsha LoalboPARadiation Oncology Physician$359.8K$12.2K
    Geoffrey BisignaniPAUrology Physician$256.2K$2.5K
    Kayla HessFLPhysician Assistant$234.8K$0
    Norman GebroskyPAUrology Physician$228.8K$3.2K
    Martin AlbornozMDInterventional Cardiology Physician$230K$0
    Kizhake KurianFLCardiovascular Disease Physician$226.8K$0
    Gregory BisignaniPAOrthopaedic Surgery Physician$194.6K$19.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Adelphoi Village, Inc.PACommunity/Behavioral Health Agency$0$14.1M
    Michael VittonePAOphthalmology Physician$213.1K$5.6K
    Scott BerryPAPain Medicine (Anesthesiology) Physician$97.7K$99.6K
    Carlos MarreroPANeurology Physician$57.8K$139.4K
    Nitin AgarwalPANeurological Surgery Physician$134.8K$1.1K
    Andrew MillerPAOptometrist$85.3K$840
    Daniel DicolaPAFamily Medicine Physician$31.3K$34.8K
    Mark MilchakPACardiovascular Disease Physician$28.3K$7K
    Amanda Dalla BettaPAFamily Nurse Practitioner$15.7K$9.3K

    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. Pennsylvania Distribution
    Danielle Smith — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Danielle Smith — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania