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    OpenPayerNPI Medicare & MedicaidDavid Smith
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    David Smith — Billing Profile & Reimbursement Data

    NPI 1407844806 · Newport News, VA · Anatomic Pathology & Clinical Pathology Physician

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    David Smith is a anatomic pathology & clinical pathology physician provider located in Newport News, Virginia. This profile covers 23 Medicare and 45 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDavid Smith
    Address500 J Clyde Morris Blvd
    CityNewport News
    StateVA
    ZIP23601
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedOctober 10, 2005

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

    Payer SourceTotal Paid
    Medicare$132.2K
    Medicaid$50

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…2,230$30$58K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…240$60$15.4K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…590$20$13.1K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…280$30$7.3K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method40$130$5.8K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.90$50$4.9K
    88112Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…240$20$4.7K
    88360The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the…150$30$4.6K
    88309The physician, typically a pathologist, performs a level VI examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…40$110$4.1K
    88331Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during…60$50$3K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8830530250760$40$55.8K
    8837762040$80$19.6K
    8834150200290$30$17.1K
    G0416166030$210$13.3K
    8834253210160$50$13K
    883126912060$50$9.7K
    8830722170120$70$9.6K
    8811218110100$30$5.3K
    883136614060$20$5.2K
    883313312040$60$4.8K

    Showing 1–10 of 23

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    45 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80047The lab analyst performs a basic metabolic panel (BMP) test in which he measures the blood level of eight chemicals identified in the descriptor including ionized calcium, sodium, potassium,…30$0$0
    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…60$0$0
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.260$0$0
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.110$0$0
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…210$0$0
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…60$0$0
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…190$0$0
    81025The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.290$0$0
    82330The lab analyst measures this ionized form of calcium primarily on serum, blood, or a capillary sample. Providers use ionized calcium testing extensively during major surgeries where the importance…30$0$0
    82374The lab analyst measures the carbon dioxide, primarily in serum. Most of the carbon dioxide in blood exists as bicarbonate with much of the balance as carbonic acid.20$0$0

    Showing 1–10 of 45

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Virginia median

    45 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.1491703,790$40$415.2K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.1722305,240$1$93.2K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.1021301,430$10$54.5K
    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…1551803,920$1$50.3K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.1021301,390$10$37.4K
    87389The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…4460870$10$28.2K
    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…2364101,030$1$26.8K
    87040The lab analyst performs a bacterial culture on blood, and isolates and presumptively identifies any bacteria that grow on selected aerobic media. This code also includes work for anaerobic culture,…1041103,240$10$21.9K
    84484The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and…10712010,020$1$16.4K
    80047The lab analyst performs a basic metabolic panel (BMP) test in which he measures the blood level of eight chemicals identified in the descriptor including ionized calcium, sodium, potassium,…8390620$1$16.3K

    Showing 1–10 of 45

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eric ScottVAAnatomic Pathology & Clinical Pathology Physician$223.3K$0
    Michael SchwartzVAAnatomic Pathology & Clinical Pathology Physician$145.8K$0
    Lucy DefantiVAAnatomic Pathology & Clinical Pathology Physician$126.9K$0
    Damian TaglienteVAAnatomic Pathology & Clinical Pathology Physician$65.6K$0
    Scott BackusMDAnatomic Pathology & Clinical Pathology Physician$25.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Riverside Hospital IncVAGeneral Acute Care Hospital$0$136.7M
    Hope In Home Care LLCVARespite Care$0$63.4M
    Riverside Physician Services, Inc.VAFamily Medicine Physician$0$44.7M
    New Life, LLCVACommunity/Behavioral Health Agency$0$10.6M
    All Ways There Home CareVAHome Health Agency$0$9.4M
    Riverside Hospital Inc.VAFamily Medicine Physician$0$7.7M
    Universal Mental Health Services, LLCVAAdolescent and Children Mental Health Clinic/Center$0$7.1M
    Peninsula Radiological Associates LimitedVADiagnostic Radiology Physician$0$6.5M
    Charles KershVARadiation Oncology Physician$408.8K$0
    Michael HookerVAOrthopaedic Surgery Physician$382.5K$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
    David Smith — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    David Smith — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia