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    OpenPayerNPI Medicare & MedicaidCraig Smith
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    Craig Smith — Billing Profile & Reimbursement Data

    NPI 1255375648 · New York, NY · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

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    Craig Smith is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in New York, New York. This profile covers 9 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
    OrganizationCraig Smith
    Address177 Fort Washington Ave
    CityNew York
    StateNY
    ZIP10032
    TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    NPI EnumeratedJune 15, 2006

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

    Payer SourceTotal Paid
    Medicare$85.7K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33534The provider diverts blood flow from damaged vessels in the heart by grafting in two arterial segments from another location, such as in the chest or abdomen, to restore circulation, improve the…10$1,730$24.2K
    33535The provider diverts blood flow from damaged vessels in the heart by grafting in three arterial segments from another location, such as in the chest or abdomen, to restore circulation, improve the…10$2,130$23.4K
    33405The provider replaces the aortic valve with an artificial valve (but not a homograft or ventless valve) via open access with the patient on cardiopulmonary bypass. She performs this procedure to…10$1,720$18.9K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…50$190$9.6K
    33517The provider diverts blood flow from damaged vessels in the heart by grafting a single vein segment taken from another location, such as the leg, while the patient is undergoing a coronary artery…20$180$3.7K
    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…10$150$2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…10$160$1.7K
    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…20$70$1.7K
    33508The provider employs surgical endoscopy to visualize structures surrounding the vein he harvests for a coronary artery bypass procedure.20$20$320

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    33405233010$1,500$25.5K
    3353451010$1,520$24.3K
    3353511010$2,130$23.4K
    9921326,69731,44080$70$12.1K
    992238,3728,65040$150$9.3K
    9920412,44614,17030$130$6.6K
    992058074,26030$180$6.4K
    3351711020$140$2.1K
    33508296020$10$260

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jeffrey GellerNYOrthopaedic Surgery Physician$464.3K$0
    Mathew WilliamsNYThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$403.1K$8.2K
    Roshan ShahNYAdult Reconstructive Orthopaedic Surgery Physician$405.9K$0
    Isaac GeorgeNYThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$355.3K$0
    Charles JobinNYOrthopaedic Surgery Physician$237K$0
    William LevineNYOrthopaedic Surgery Physician$214.7K$0
    Nicholas MorrisseyNYVascular Surgery Physician$177.5K$32.8K
    Ronald LehmanNYOrthopaedic Surgery Physician$198.4K$0
    Joshua SonettNYThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$193.5K$320
    Hiroo TakayamaNYThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$190.3K$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. New York Distribution
    Craig Smith — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York