Frederic Smith — Billing Profile & Reimbursement Data
NPI 1528029287 · Irmo, SC · Internal Medicine Physician
Customize your policy alerts
Sign up for Frederic Smith — Billing Profile & Reimbursement Data policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Frederic Smith is a internal medicine physician provider located in Irmo, South Carolina. This profile covers 20 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.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Frederic Smith |
| Address | 7182 Woodrow St Ste 200 |
| City | Irmo |
| State | SC |
| ZIP | 29063 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | March 31, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $222.6K |
| 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.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 500 | $120 | $60.3K |
| 99213 | The 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… | 980 | $60 | $54.7K |
| 99214 | The 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… | 680 | $80 | $54.3K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 100 | $70 | $6.8K |
| G0444 | Annual depression screening, 5 to 15 minutes | 380 | $20 | $6.5K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 40 | $160 | $6.4K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 350 | $20 | $5.9K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 140 | $40 | $5.9K |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 30 | $140 | $4K |
| 99204 | The 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… | 50 | $80 | $3.8K |
Showing 1–10 of 20
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
20 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 918 | 7,860 | 160 | $80 | $23.2K |
| G0439 | 33 | 1,870 | 80 | $120 | $14.5K |
| 99213 | 204 | 7,690 | 100 | $60 | $10.8K |
| 99215 | 1,297 | 2,360 | 40 | $120 | $9.3K |
| 99490 | 226 | 650 | 80 | $40 | $8.9K |
| 99204 | 2,008 | 4,520 | 40 | $110 | $6.4K |
| 99497 | 195 | 710 | 50 | $60 | $5K |
| G0438 | 54 | 450 | 20 | $150 | $4K |
| 99439 | 301 | 410 | 50 | $30 | $3.4K |
| 99495 | 222 | 400 | 20 | $150 | $3.1K |
Showing 1–10 of 20
Nearby Providers
Other providers in the same ZIP code as Frederic Smith, ranked by combined Medicare and Medicaid revenue.
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 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.