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NPI 1558543421 · Newport Beach, CA · Plastic Surgery Physician
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Melissa Smith is a plastic surgery physician provider located in Newport Beach, California. This profile covers 18 Medicare and 28 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 | Melissa Smith |
| Address | 1501 Superior Ave |
| City | Newport Beach |
| State | CA |
| ZIP | 92663 |
| Taxonomy | Plastic Surgery Physician |
| NPI Enumerated | December 3, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $754.8K |
| Medicaid | $255K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 2,230 | $110 | $238.2K |
| 11044 | The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the… | 450 | $240 | $106.4K |
| 99310 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends… | 670 | $130 | $85.5K |
| 11047 | The provider uses surgical instruments to remove dead, infected tissue from bone as well as the epidermis, dermis, and subcutaneous tissue, muscle, and/or fascia if needed. She performs this service… | 800 | $90 | $72.3K |
| 11043 | The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or… | 470 | $140 | $64.4K |
| 11046 | The provider uses surgical instruments to remove the dead tissue from the muscle and/or fascia, as well as the subcutaneous tissue layer, epidermis, and dermis if needed. She performs this service at… | 730 | $50 | $39.6K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 190 | $150 | $29.7K |
| 11303 | The provider shaves off a single epidermal or dermal lesion greater than 2.0 cm in diameter from the skin of the trunk, arms, or legs. | 430 | $70 | $28.9K |
| 17250 | The provider cauterizes granulation tissue using chemicals like silver nitrate or potassium hydroxide to heal the injured tissue. | 300 | $70 | $20.9K |
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 340 | $60 | $19.4K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 11043 | 74 | 370 | 120 | $170 | $52.1K |
| 99349 | 16 | 870 | 110 | $90 | $31.7K |
| 99310 | 78 | 840 | 90 | $120 | $31.2K |
| 11044 | 7 | 110 | 60 | $240 | $29.1K |
| 11046 | 29 | 160 | 270 | $50 | $24.2K |
| 99214 | 33,559 | 37,970 | 120 | $90 | $23.2K |
| 11047 | 1 | 30 | 190 | $90 | $21K |
| 11042 | 190 | 1,030 | 100 | $80 | $18.1K |
| 99306 | 442 | 1,320 | 60 | $150 | $15.5K |
| 99215 | 2,181 | 15,360 | 50 | $130 | $14.4K |
Showing 1–10 of 18
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
28 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 1,020 | $70 | $73.4K |
| 99336 | N/A | 4,540 | $10 | $63.6K |
| 11044 | The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the… | 880 | $50 | $46.7K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 1,040 | $20 | $23.9K |
| 11043 | The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or… | 710 | $20 | $14.2K |
| 99310 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends… | 370 | $40 | $13.1K |
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 360 | $20 | $5.7K |
| 99070 | Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,… | 4,520 | $1 | $4.5K |
| 11303 | The provider shaves off a single epidermal or dermal lesion greater than 2.0 cm in diameter from the skin of the trunk, arms, or legs. | 190 | $20 | $3.4K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 20 | $130 | $2K |
Showing 1–10 of 28
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
28 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 11303 | The provider shaves off a single epidermal or dermal lesion greater than 2.0 cm in diameter from the skin of the trunk, arms, or legs. | 2 | 10 | 190 | $130 | $193.6K |
| 11044 | The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the… | 3 | 20 | 250 | $80 | $188.2K |
| 11043 | The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or… | 47 | 130 | 280 | $70 | $173.8K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 984 | 4,230 | 210 | $110 | $135K |
| 99070 | Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,… | 111 | 510 | 500 | $10 | $89.3K |
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 186 | 380 | 350 | $50 | $82.3K |
| 99310 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends… | 177 | 410 | 240 | $40 | $71.7K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 1,655 | 1,980 | 110 | $160 | $66.3K |
| 17250 | The provider cauterizes granulation tissue using chemicals like silver nitrate or potassium hydroxide to heal the injured tissue. | 19 | 40 | 180 | $10 | $46.5K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 54 | 320 | 180 | $40 | $38.5K |
Showing 1–10 of 28
Other providers in the same ZIP code as Melissa Smith, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Newport Bay Surgery Center, LLC | CA | Ambulatory Surgical Clinic/Center | $1.8M | $242.6K |
| David Nabi | CA | Vascular Surgery Physician | $1.4M | $0 |
| Ryan Klein | CA | Internal Medicine Physician | $1.3M | $0 |
| Hoag Outpatient Centers, LLC | CA | Ambulatory Surgical Clinic/Center | $1.2M | $0 |
| Howard Mango | CA | Audiologist | $1M | $148K |
| Rafael Penunuri | CA | Internal Medicine Physician | $1.1M | $0 |
| Newport Beach Endoscopy Center, LLC | CA | Ambulatory Surgical Clinic/Center | $967.7K | $0 |
| George Siegel | CA | Occupational Therapist | $891.6K | $0 |
| Christopher O'carroll | CA | Neurology Physician | $655.3K | $0 |
| Brian Chesnie | CA | Specialist | $582.8K | $0 |
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