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NPI 1104841188 · Decatur, IL · Orthopaedic Hand Surgery Physician
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Jeffery Smith is a orthopaedic hand surgery physician provider located in Decatur, Illinois. This profile covers 27 Medicare and 7 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 | Jeffery Smith |
| Address | 304 W Hay St |
| City | Decatur |
| State | IL |
| ZIP | 62526 |
| Taxonomy | Orthopaedic Hand Surgery Physician |
| NPI Enumerated | July 12, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $105.5K |
| Medicaid | $62.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
27 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 23472 | In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider… | 20 | $1,140 | $22.8K |
| 99212 | The 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,… | 370 | $40 | $14.5K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 50 | $320 | $14.2K |
| 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… | 160 | $70 | $11.5K |
| 26055 | Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may… | 30 | $170 | $5.2K |
| 20550 | Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation. | 160 | $30 | $4.7K |
| 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… | 60 | $70 | $4.1K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 160 | $20 | $3.9K |
| 73110 | The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area. | 120 | $30 | $3.2K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 70 | $40 | $2.8K |
Showing 1–10 of 27
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
27 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 23472 | 60 | 130 | 20 | $860 | $21.4K |
| 64721 | 47 | 140 | 30 | $460 | $20.5K |
| 99214 | 18,413 | 18,540 | 110 | $80 | $17.1K |
| 26055 | 60 | 120 | 30 | $320 | $13K |
| 99213 | 9,629 | 17,390 | 70 | $60 | $8.8K |
| 20610 | 703 | 1,550 | 60 | $50 | $7.6K |
| 99204 | 6,458 | 8,580 | 30 | $110 | $5.6K |
| 99222 | 3,792 | 5,730 | 30 | $100 | $5.3K |
| 99203 | 289 | 6,150 | 30 | $70 | $3.8K |
| 99212 | 60 | 3,950 | 30 | $40 | $2.4K |
Showing 1–10 of 27
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99212 | The 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,… | 1,680 | $20 | $31.9K |
| 99202 | The 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… | 630 | $30 | $15.6K |
| 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… | 290 | $40 | $10.6K |
| 20550 | Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation. | 90 | $20 | $1.8K |
| 73100 | In this procedure, the provider takes two X–ray images of a patient’s wrist to check for any fracture, swelling, or reason of pain in the wrist area. | 50 | $20 | $970 |
| 73140 | In this diagnostic procedure, the provider performs a radiological study of one or more fingers. He performs two or more views. | 60 | $10 | $740 |
| 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… | 30 | $30 | $680 |
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
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 12,319 | 14,190 | 280 | $20 | $38.9K |
| 99202 | The 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… | 90 | 930 | 60 | $40 | $12.2K |
| 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… | 751 | 3,270 | 80 | $40 | $11.1K |
| 99212 | The 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,… | 286 | 3,330 | 90 | $10 | $7.4K |
| 20550 | Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation. | 11 | 20 | 50 | $20 | $3.2K |
| 73100 | In this procedure, the provider takes two X–ray images of a patient’s wrist to check for any fracture, swelling, or reason of pain in the wrist area. | 21 | 50 | 40 | $10 | $2K |
| 73140 | In this diagnostic procedure, the provider performs a radiological study of one or more fingers. He performs two or more views. | 62 | 140 | 50 | $10 | $1.8K |
Other providers in the same ZIP code as Jeffery Smith, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Board Of Trustees Of Southern Illinois University | IL | Federally Qualified Health Center (FQHC) | $0 | $8.6M |
| Michael Stauder | IL | Optometrist | $123.4K | $729.7K |
| Jonathan Locke | IL | Diagnostic Radiology Physician | $335.8K | $508.5K |
| Jeffrey Boorstein | IL | Diagnostic Radiology Physician | $185.7K | $558.2K |
| Mario Velasco | IL | Medical Oncology Physician | $569.8K | $124K |
| Mark Muscato | IL | Diagnostic Radiology Physician | $270.6K | $394.7K |
| Gailey Eye Surgery-decatur LLC | IL | Ambulatory Surgical Clinic/Center | $599.5K | $0 |
| Perry Guaglianone | IL | Hematology & Oncology Physician | $411.8K | $119.6K |
| Benjamin Esparaz | IL | Hematology & Oncology Physician | $391.4K | $62.9K |
| Evelena Ontiveros | IL | Hematology & Oncology Physician | $297.6K | $95.5K |
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