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    OpenPayerNPI Medicare & MedicaidEdward Smith
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    Edward Smith — Billing Profile & Reimbursement Data

    NPI 1497199020 · Meridian, MS · Orthopaedic Surgery of the Spine Physician

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    Edward Smith is a orthopaedic surgery of the spine physician provider located in Meridian, Mississippi. This profile covers 19 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
    OrganizationEdward Smith
    Address5002 Highway 39 N Bldg C
    CityMeridian
    StateMS
    ZIP39301
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedApril 25, 2013

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

    Payer SourceTotal Paid
    Medicare$158.7K
    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.

    19 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…480$70$31.8K
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…80$280$23.8K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…30$550$17.1K
    22551A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.10$1,230$14.8K
    22633In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…10$1,310$14.4K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…60$190$11K
    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…120$90$10.9K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…20$610$9.7K
    22600The provider performs arthrodesis, also known as spinal fusion, in the neck, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse…10$640$7K
    63048At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.50$150$6.8K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    22551192020$1,950$44.8K
    22633121030$830$30K
    992147924,110170$70$21.9K
    63047234020$710$16.9K
    2261411040$230$10.7K
    9921530090040$110$9K
    2284211020$430$8.6K
    2260011010$730$8K
    2285383030$130$6.8K
    992042512,15040$100$5.8K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rush Medical FoundationMSGeneral Acute Care Hospital$0$29.4M
    University Orthopedics, Inc.RIOrthopaedic Surgery Physician$0$5.3M
    Medical Foundation, Inc.MSClinical Medical Laboratory$1M$4.2M
    Shannon WeathersMSFamily Nurse Practitioner$4.6M$0
    Ochsner Mississippi, LLCMSInternal Medicine Physician$0$3.2M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Medical Foundation, Inc.MSGynecology Physician$0$1.4M
    Medical Foundation, Inc.MSEmergency Medicine Physician$0$1.3M
    Robert WilkinsMSInterventional Cardiology Physician$1.2M$0
    Artin AharonianMDDiagnostic Radiology Physician$1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Anderson Regional Medical CenterMSGeneral Acute Care Hospital$0$32.5M
    Meridian Pediatric Extended Care LLCMSPediatric Skilled Nursing Facility$0$9.3M
    Lauderdale County Ems DistrictMSAmbulance$2.1M$6.4M
    Southern Home Private Care LLCMSHomemaker$0$6M
    Kevin DouglasMSOrthodontics and Dentofacial Orthopedics Dentistry$0$5.9M
    Douglas Orthodontics PLLCMSOrthodontics and Dentofacial Orthopedics Dentistry$0$5.7M
    Anderson Regional Medical CenterMSRural Health Clinic/Center$0$5.4M
    Laird Hospital, IncMSRural Health Clinic/Center$0$5.3M
    Rcg Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$5.2M
    Ms Eye Care PAMSOptometrist$0$4.4M

    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. Mississippi Distribution
    Edward Smith — 3 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi