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    OpenPayerNPI Medicare & MedicaidRichard Smith
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    Richard Smith — Billing Profile & Reimbursement Data

    NPI 1194824508 · Fall River, MA · Orthopaedic Surgery Physician

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    Richard Smith is a orthopaedic surgery physician provider located in Fall River, Massachusetts. This profile covers 10 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
    OrganizationRichard Smith
    Address277 Pleasant Street.
    CityFall River
    StateMA
    ZIP02721
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedSeptember 22, 2006

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

    Payer SourceTotal Paid
    Medicare$103.3K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg6,000$10$30K
    20610In 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…370$60$21.4K
    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…240$70$15.5K
    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,…330$40$14.6K
    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…170$80$14.5K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…20$90$2K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,520$1$1.5K
    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…20$60$1.4K
    20600In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…30$40$1.2K
    20605In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may…10$40$430

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J73186301,860$10$14.9K
    2061114018050$80$9.6K
    992132,30913,70070$60$8.8K
    206106798060$50$5.8K
    992032064,29030$80$4.1K
    99212552,66030$40$2.4K
    9920226060020$50$1.6K
    2060513214020$40$1.6K
    206007519030$40$1.6K
    J330178720210$1$450

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prima Care, PCMAClinic/Center$0$32.2M
    John MilliganTNSurgery Physician$674.1K$0
    Rajendra PatelFLVascular Surgery Physician$665.1K$0
    Raju SinglaMAInternal Medicine Physician$632.7K$0
    Mark FisherMARheumatology Physician$599.6K$0
    Zein FarhatRIFamily Medicine Physician$0$454.3K
    Linsey PhilipMAInfectious Disease Physician$450.9K$0
    Vincent FrazziniNYNeuroradiology Physician$403.9K$21.5K
    Aqeel SiddiquiMAVascular Surgery Physician$390.4K$0
    Jonathan KittredgeSCVascular Surgery Physician$382.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Steward St. Annes Hospital CorporationMAGeneral Acute Care Hospital$0$82.8M
    Mass Care Link, Inc.MAFoster Care Agency$0$43.3M
    Bay Coast Behavioral, LLCMAMental Health Clinic/Center (Including Community Mental Health Center)$0$14.9M
    Bay State Physical Therapy Of Randolph IncMAPhysical Therapist$0$14.7M
    People, IncorporatedMAEarly Intervention Provider Agency$0$14.6M
    Dental Dreams LLCMAGeneral Practice Dentistry$0$6.6M
    Mary GoncaloMAPsychiatric/Mental Health Registered Nurse$81.6K$538.5K
    Aamir AhmadMADiagnostic Radiology Physician$342.4K$33.1K
    Bassem NasserMACardiovascular Disease Physician$372.8K$0
    Ravi ChanderMACardiovascular Disease Physician$307.9K$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. Massachusetts Distribution
    Richard Smith — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts