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    OpenPayerNPI Medicare & MedicaidJeffrey Smith
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    Jeffrey Smith — Billing Profile & Reimbursement Data

    NPI 1245550425 · Watertown, SD · Dermatology Physician

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    Jeffrey Smith is a dermatology physician provider located in Watertown, South Dakota. 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
    OrganizationJeffrey Smith
    Address401 9th Ave Nw
    CityWatertown
    StateSD
    ZIP57201
    TaxonomyDermatology Physician
    NPI EnumeratedJune 10, 2010

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

    Payer SourceTotal Paid
    Medicare$136.8K
    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
    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…770$50$34.5K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…810$30$23.6K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.550$30$18.8K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…160$50$7.7K
    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…130$60$7K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.50$120$5.4K
    12052This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips and/or mucous membranes that are 2.6 to 5.0 cm in size.30$140$4.5K
    17262The provider destroys a malignant lesion on the trunk, arms, or legs using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion is 1.1 cm to 2.0 cm in…50$70$3.3K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.130$30$3.2K
    11104The provider biopsies a skin lesion using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin lesions.90$40$3.1K

    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
    8830532601,030$30$39.1K
    992141,1681,66090$70$11.4K
    1700014100200$30$8.5K
    1727281030$60$7.4K
    111023580110$40$7.3K
    17110188090$50$7.2K
    883422930210$30$6.8K
    883412930210$20$6.7K
    99213191,71080$50$6.4K
    17004283040$100$6.3K

    Showing 1–10 of 30

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prairie Lakes Health Care System IncSDRural Acute Care Hospital$0$2M
    Prairie Lakes Health Care System IncSDRural Acute Care Hospital$0$703.4K
    Reed SmithCODiagnostic Radiology Physician$493.2K$0
    Coteau Des Prairies HospitalSDMulti-Specialty Clinic/Center$0$438.4K
    Aaron GouldILDiagnostic Radiology Physician$126.2K$209.3K
    Trudi ParkerMNDiagnostic Radiology Physician$317.2K$0
    Hollis NipeSDInternal Medicine Physician$246.8K$0
    Michael RoganMNDiagnostic Radiology Physician$245K$0
    Eric WoolleySDFoot & Ankle Surgery Podiatrist$238.4K$0
    Scott TornessSDFoot & Ankle Surgery Podiatrist$211.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Human Service AgencySDAddiction (Substance Use Disorder) Counselor$0$39M
    Brown Clinic PllpSDFamily Medicine Physician$0$3.1M
    Thane Evans Crump Dds PCSDEndodontics$0$2.3M
    Human Service AgencySDCase Management Agency$0$2.3M
    Sanford ClinicSDFamily Medicine Physician$0$2M
    Prairie Lakes Home ConnectionsSDSupports Brokerage Agency$0$1.2M
    Big Stone Therapies Watertown, LLCSDPhysical Therapy Clinic/Center$0$1.1M
    City Of WatertownSDLand Ambulance$475.4K$390.4K
    Bridgeway Counseling Center Inc.SDPsychologist$0$813.1K
    Chad D. Beynon, O.d., P.C.SDOptometrist$0$630.8K

    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. South Dakota Distribution
    Jeffrey Smith — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota