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    OpenPayerNPI Medicare & MedicaidAndrew Smith
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    Andrew Smith — Billing Profile & Reimbursement Data

    NPI 1194138842 · Trussville, AL · Family Medicine Physician

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    Andrew Smith is a family medicine physician provider located in Trussville, Alabama. This profile covers 30 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
    OrganizationAndrew Smith
    Address7201 Happy Hollow Road
    CityTrussville
    StateAL
    ZIP35173
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJune 10, 2014

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

    Payer SourceTotal Paid
    Medicare$95.4K
    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.

    30 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…420$80$31.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit140$120$16.8K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…320$20$5.1K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.250$10$3.3K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…390$10$3.1K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…390$10$3.1K
    80076The lab analyst performs a hepatic function panel test in which he measures the blood levels of total protein, albumin, alkaline phosphatase, bilirubin, both total and direct, and liver enzymes.390$10$3.1K
    99442N/A50$60$3K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…80$40$3K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…300$10$3K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,0907,330120$80$16.8K
    8230612034060$30$16K
    99490246350150$40$14.1K
    844438456090$20$12.2K
    80061156590120$10$12.1K
    G04393291,52070$120$11K
    84481638050$20$7.4K
    850252061,020110$10$5.9K
    826078437040$10$5.5K
    9949623430020$200$4.9K

    Showing 1–10 of 30

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Birmingham Internal Medicine Associates, LLCALInternal Medicine Physician$0$2.7M
    Inri Medical Associates, PCALFamily Medicine Physician$0$1M
    Ross BarnettALDiagnostic Radiology Physician$955.3K$0
    Charles MeadALDiagnostic Radiology Physician$180K$0
    Shawn SmithALInternal Medicine Physician$137.4K$0
    Carl RussellALFamily Medicine Physician$136.4K$0
    Michael DupreALFamily Medicine Physician$125.8K$0
    Joseph JohnsonALFamily Medicine Physician$119.6K$0
    Ashley PauldinALFamily Nurse Practitioner$109.9K$0
    Scott BoykenALSports Medicine (Family Medicine) Physician$107.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Children's Hospital Of AlabamaALPediatrics Physician$0$18.4M
    Children And Teen Dental Group Of AlabamaALPediatric Dentistry$0$1.2M
    St Vincents Ambulatory Healthcare Network LLCALPhysiological Laboratory$87.8K$4.9K
    Melanie MillerALFamily Medicine Physician$61K$0
    Brittney RandolphALClinical Psychologist$13.3K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Alabama Distribution
    Andrew Smith — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama