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    OpenPayerNPI Medicare & MedicaidSidney Smith
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    Sidney Smith — Billing Profile & Reimbursement Data

    NPI 1104817410 · Savannah, GA · MOHS-Micrographic Surgery Physician

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    Sidney Smith is a mohs-micrographic surgery physician provider located in Savannah, Georgia. This profile covers 45 Medicare and 4 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
    OrganizationSidney Smith
    Address900 Mohawk St
    CitySavannah
    StateGA
    ZIP31419
    TaxonomyMOHS-Micrographic Surgery Physician
    NPI EnumeratedNovember 4, 2005

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

    Payer SourceTotal Paid
    Medicare$1.6M
    Medicaid$6.1K

    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.

    45 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4188Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure)890$790$701.2K
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…710$420$294K
    17313Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.240$300$73.3K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.1,070$60$60.8K
    17312Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.200$300$59.3K
    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…1,070$60$58.8K
    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…630$80$50.8K
    11103The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…1,310$30$44.5K
    11602The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the trunk, arms, or legs.210$130$26.6K
    77280The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.140$190$25.4K

    Showing 1–10 of 45

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    45 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q4188110530$790$417.5K
    17311980290$440$166K
    173123380140$310$66.3K
    1731377070$440$47.8K
    774011620830$30$26.3K
    772801811030$170$24.5K
    992141,02613,640120$80$17.8K
    17314264030$310$13.5K
    111024550160$60$12.8K
    1711027452090$70$10.7K

    Showing 1–10 of 45

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…50$50$2.5K
    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…30$50$1.7K
    99203The 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…20$80$1.4K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…10$30$430

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Georgia median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…719920370$60$360.6K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…340360370$50$153.6K
    99203The 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…25431090$90$136.3K
    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…88120100$80$34.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sidney P Smith Md PCGADermatology Physician$0$1.1M
    Richard ParkerGAFamily Medicine Physician$528.8K$0
    David CapalloGAThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$417.5K$0
    Emma Laura MakaturaGAPhysician Assistant$303.2K$0
    Christopher AndersonGADermatology Physician$264.1K$0
    Taylor ByrneGAFamily Nurse Practitioner$197K$0
    Rebecca DarroudiSCPhysician Assistant$151.5K$0
    Karen PenroseGAFamily Nurse Practitioner$124.4K$0
    Jack DupeeGAMedical Physician Assistant$94.7K$0
    William StephensSCPhysician Assistant$83.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    United Ems LLCGALand Ambulance$440.3K$0
    Gary ElkinGAInterventional Cardiology Physician$337.9K$0
    Jill TrumbleGANeurology Physician$283.9K$0
    Daniel CobbGAClinical Cardiac Electrophysiology Physician$282.3K$0
    Michael BabcockGACardiovascular Disease Physician$278.4K$0
    William WallaceGAInterventional Cardiology Physician$278.4K$0
    Ryan MoodyGAPulmonary Disease Physician$276.6K$0
    Michael ChisnerGAClinical Cardiac Electrophysiology Physician$265.1K$0
    Craig SchuringGACritical Care Medicine (Internal Medicine) Physician$186.1K$0
    Robert KingGAThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$183.1K$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. Georgia Distribution
    Sidney Smith — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia
    Medicaid Revenue by Year vs. Georgia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Georgia Distribution
    Sidney Smith — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia