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    OpenPayerNPI Medicare & MedicaidMalcolm Smith
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    Malcolm Smith — Billing Profile & Reimbursement Data

    NPI 1174525174 · Texarkana, TX · Pulmonary Disease Physician

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    Malcolm Smith is a pulmonary disease physician provider located in Texarkana, Texas. This profile covers 33 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
    OrganizationMalcolm Smith
    Address5002 Cowhorn Creek Rd
    CityTexarkana
    StateTX
    ZIP75503
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedAugust 10, 2005

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

    Payer SourceTotal Paid
    Medicare$333.7K
    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.320$360$112.5K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…220$340$74.4K
    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…350$90$31.7K
    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…250$60$15K
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…360$40$12.9K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.340$40$12.2K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.1,580$10$9.5K
    32557Using imaging guidance, the provider places a small tube through a small incision into the patient’s chest for drainage.70$120$8.6K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…140$60$8.5K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…250$30$6.6K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992146,08032,500110$80$17.6K
    992324,91711,790100$60$15.8K
    95811325040$250$15.7K
    992913,5114,72050$160$13.6K
    95810625040$240$13.2K
    992238,4009,99040$130$9.5K
    992134,84529,79070$60$8.4K
    850252,8042,910110$10$6.6K
    9920410,59316,38030$110$5.6K
    992223,1397,91030$100$4.9K

    Showing 1–10 of 33

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tyler Family Circle Of CareTXFederally Qualified Health Center (FQHC)$0$48.3M
    Mother Frances Hospital Regional Health Care CenterTXGeneral Acute Care Hospital$0$32.9M
    Christus Trinity Clinic TexasTXFamily Medicine Physician$0$22.2M
    Christus Health Ark-la-texTXGeneral Acute Care Hospital$0$15.6M
    Natalie Alphonse SullivanLARadiation Oncology Physician$1.9M$0
    Christopher JordanCOHematology & Oncology Physician$970.8K$0
    Apryl MensahTXRadiation Oncology Physician$916.7K$0
    Alaa YounesLAInterventional Cardiology Physician$872.9K$0
    Sainath GaddamTXInterventional Cardiology Physician$251.9K$538.3K
    Jose OrtizTXEndocrinology, Diabetes & Metabolism Physician$691.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Total Medical Supply IncTXDurable Medical Equipment & Medical Supplies$0$42.8M
    Lifenet, Inc.TXLand Ambulance$7.2M$19.9M
    Texarkana Special Education Center, Inc.TXDevelopmentally Disabled Services Day Training Agency$0$19.4M
    East Texas Border Health ClinicTXFederally Qualified Health Center (FQHC)$0$10.9M
    Texarkana Surgery Center LPTXAmbulatory Surgical Clinic/Center$810.8K$2.4M
    Precision Surgery Center, LLC.TXAmbulatory Surgical Clinic/Center$1.5M$0
    Tglp, LPTXAmbulatory Surgical Clinic/Center$940.7K$440.3K
    Roshan GeorgeTXRetina Specialist (Ophthalmology) Physician$1.1M$0
    Hai TranTXRadiation Oncology Physician$1.1M$0
    Surgery Center Of Northeast Texas LLCTXAmbulatory Surgical Clinic/Center$990.8K$59.3K

    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. Texas Distribution
    Malcolm Smith — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas