Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichele Carbonell-smith
    Ask Trek AI about this page

    Michele Carbonell-smith — Billing Profile & Reimbursement Data

    NPI 1447557160 · Paducah, KY · Nurse Practitioner

    Customize your policy alerts

    Sign up for Michele Carbonell-smith — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Michele Carbonell-smith is a nurse practitioner provider located in Paducah, Kentucky. This profile covers 11 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichele Carbonell-smith
    Address1920 Broadway St
    CityPaducah
    StateKY
    ZIP42001
    TaxonomyNurse Practitioner
    NPI EnumeratedFebruary 15, 2011

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

    Payer SourceTotal Paid
    Medicare$23.4K
    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.

    11 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…170$80$12.4K
    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…110$50$5.4K
    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$100$1.2K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…20$70$1.1K
    94010The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…60$10$820
    94375The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…40$20$810
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.20$30$670
    G0008Administration of influenza virus vaccine20$30$460
    94664The provider educates a patient on the use of an aerosol device, nebulizer, metered dose inhaler, or IPPB device and then has the patient demonstrate her understanding. He does this as part of the…30$10$290
    J1030Injection, methylprednisolone acetate, 40 mg20$10$120

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,6477,230110$70$14.1K
    992132,8527,25080$50$7.7K
    992042,8653,20030$100$4.8K
    906621,1361,27040$70$4.5K
    G00081,6701,91050$30$2K
    9472915117060$20$1.6K
    94375254050$20$1.2K
    940106721040$10$870
    963721,2131,24050$10$670
    J103013919040$10$480

    Showing 1–10 of 11

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Michele Carbonell-smith, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Peter LockenKYRadiation Oncology Physician$426K$0
    Sanjay BoseKYInterventional Cardiology Physician$296.5K$7.9K
    John MiglianoAZHematology & Oncology Physician$300.2K$0
    Robert LipsonAZUrology Physician$275.2K$0
    Griffin BickingKYVascular Surgery Physician$247.5K$0
    Harikrishnan Damodaran NairKYInterventional Cardiology Physician$234.8K$0
    William PorterINRadiation Oncology Physician$227.5K$0
    Darrell NewKYFamily Nurse Practitioner$44.7K$181.4K
    Vedran OrucKYClinical Cardiac Electrophysiology Physician$218.2K$0
    Rami JambeihKYPulmonary Disease Physician$216K$0

    Nearby Providers

    Other providers in the same ZIP code as Michele Carbonell-smith, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Comprehensive Services, IncKYRehabilitation Hospital$0$47.8M
    Western Ky Regional Mhmr Board IncKYMental Health Clinic/Center (Including Community Mental Health Center)$0$39.3M
    Western Ky Regional Mhmr Board IncKYMental Health Clinic/Center (Including Community Mental Health Center)$0$29.1M
    Easter Seals West Kentucky, Inc.KYBehavior Analyst$0$17.8M
    Shelly BaerKYClinical Social Worker$105.8K$9.8M
    Emerald Therapy Center, LLCKYCommunity/Behavioral Health Agency$0$9.8M
    Easter Seals West KentuckyKYDevelopmentally Disabled Services Day Training Agency$0$8.1M
    Bhg Xxxiii, LLCKYSubstance Use Disorder Rehabilitation Clinic/Center$124.1K$4.8M
    ArcareKYFederally Qualified Health Center (FQHC)$0$4.4M
    Legacy Oxygen And Home Care Equipment LLCKYOxygen Equipment & Supplies (DME)$0$4.1M

    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. Kentucky Distribution
    Michele Carbonell-smith — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky