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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNina Smith
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    Nina Smith — Billing Profile & Reimbursement Data

    NPI 1235190604 · Rockingham, VA · Specialist

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    Nina Smith is a specialist provider located in Rockingham, Virginia. This profile covers 13 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
    OrganizationNina Smith
    Address2010 Health Campus Dr
    CityRockingham
    StateVA
    ZIP22801
    TaxonomySpecialist
    NPI EnumeratedMarch 28, 2006

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

    Payer SourceTotal Paid
    Medicare$132.6K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.1,110$50$51K
    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…260$80$19.2K
    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…280$50$14.1K
    99204The provider sees a new 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 provider…120$100$12.3K
    11045The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…460$20$9.2K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…290$30$8K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…50$120$6.1K
    15275The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…40$70$3.3K
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.50$70$3.3K
    11044The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the…10$160$2.1K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,21212,890140$80$21K
    11043143050$150$18.3K
    11044121020$230$11.2K
    992132,19712,44090$60$10K
    11042127080$70$9.6K
    15275173050$100$6.4K
    992046106,85040$110$5.9K
    97597515050$50$4.3K
    992033,5594,92030$70$3.8K
    15271102050$80$3.5K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Benjamin HarrisPADiagnostic Radiology Physician$527.8K$504.9K
    Ashkan KarimiVAInterventional Cardiology Physician$775.6K$0
    Todd BlodgettPADiagnostic Radiology Physician$380.1K$254K
    James SlussVADiagnostic Radiology Physician$364K$90K
    Atul GuptaVADiagnostic Radiology Physician$319.1K$120.4K
    Elliott WagnerCADiagnostic Radiology Physician$392.6K$7.3K
    Jeremy HavasFLDiagnostic Radiology Physician$263.3K$82.8K
    Steven ManuliNCInternal Medicine Physician$307.7K$710
    Jawad HussainVAVascular & Interventional Radiology Physician$286K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sentara Rmh Medical CenterVAGeneral Acute Care Hospital$0$52.9M
    Continuing Care Home Health Services IncVAHome Health Agency$0$15.3M
    Rmh Medical Group LLCVAGeneral Practice Physician$0$9.8M
    Metro Treatment Of Virginia LPVAMethadone Clinic$122.8K$7.8M
    Harrisonburg Community Health CenterVAFederally Qualified Health Center (FQHC)$0$7.7M
    Priority Patient Transport IncVAAmbulance$789.8K$5.2M
    Integrity Home Care LLCVAIn Home Supportive Care Agency$0$5.7M
    Christopher EllerVAOphthalmology Physician$1.7M$0
    Harrisonburg Rescue Squad IncorporatedVAAmbulance$542.5K$1M
    Rockingham Eye Surgery Center, LLCVAAmbulatory Surgical Clinic/Center$1.5M$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. Virginia Distribution
    Nina Smith — 3 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia