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

    NPI 1437361334 · Spartanburg, SC · Interventional Pain Medicine Physician

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    Jeffrey Smith is a interventional pain medicine physician provider located in Spartanburg, South Carolina. This profile covers 47 Medicare and 1 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
    OrganizationJeffrey Smith
    Address1075 Boiling Springs Rd
    CitySpartanburg
    StateSC
    ZIP29303
    TaxonomyInterventional Pain Medicine Physician
    NPI EnumeratedMay 4, 2007

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

    Payer SourceTotal Paid
    Medicare$538K
    Medicaid$1.6K

    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.

    47 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…940$80$75K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…330$170$57.3K
    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…970$60$55.4K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…360$110$38.1K
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.30$1,210$36.3K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).190$190$36.1K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…170$170$28.5K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.50$410$21.6K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.370$60$20.8K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…1,060$20$19.1K

    Showing 1–10 of 47

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    47 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    63650294040$1,580$66.5K
    644833613090$190$33K
    623232313080$160$28.8K
    992144827,860160$80$23.2K
    644933113070$170$22.7K
    646353811040$350$22.4K
    975301,1831,250600$20$20K
    971104931,390710$20$19.2K
    8030727130110$60$14.6K
    G048055090$110$13.8K

    Showing 1–10 of 47

    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.

    1 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…30$60$1.6K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. South Carolina median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,3062,770210$60$254.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Channing WilloughbySCPain Medicine Physician$680.8K$0
    Anthony DinicolaSCPain Medicine (Physical Medicine & Rehabilitation) Physician$552K$0
    Chi LimSCOrthopaedic Surgery Physician$399.8K$0
    Daniel GerscovichVAOrthopaedic Surgery Physician$345K$0
    Keith SchiffSCPain Medicine (Anesthesiology) Physician$311.3K$0
    David BrownSCOrthopaedic Surgery Physician$259.2K$0
    Christie MinaSCNeurological Surgery Physician$229.6K$0
    Daniel KimTXPhysical Medicine & Rehabilitation Physician$194.3K$0
    Phillip EsceSCNeurological Surgery Physician$176.3K$0
    George BaxleySCNeurology Physician$164.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Spartanburg Medical CenterSCGeneral Acute Care Hospital$0$187.7M
    Axcess Healthcare Services, LLCSCNursing Care Agency$0$98.5M
    South Carolina Dept Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$40M
    Spartanburg Medical CenterSCEmergency Medicine Physician$0$17.2M
    Spartanburg Medical CenterSCFamily Medicine Physician$0$17M
    Spartanburg Medical CenterSCMaternal & Fetal Medicine Physician$0$11.5M
    Better Beginnings, IncSCPediatric Occupational Therapist$0$6.9M
    Whitney Road Dental Health Center, P.C.SCGeneral Practice Dentistry$0$6.3M
    Foothills Pediatric Dentistry, PASCPediatric Dentistry$0$4.9M
    Bhg Xxxviii, LLCSCSubstance Use Disorder Rehabilitation Clinic/Center$264.8K$3.5M

    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 Carolina Distribution
    Jeffrey Smith — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina
    Medicaid Revenue by Year vs. South Carolina Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Jeffrey Smith — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina