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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEric Smith
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    Eric Smith — Billing Profile & Reimbursement Data

    NPI 1578561700 · Bloomington, IN · Urology Physician

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    Eric Smith is a urology physician provider located in Bloomington, Indiana. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationEric Smith
    Address2907 S Mcintire Dr
    CityBloomington
    StateIN
    ZIP47403
    TaxonomyUrology Physician
    NPI EnumeratedJuly 12, 2005

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

    Payer SourceTotal Paid
    Medicare$51.3K
    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 CodeDescriptionClaimsAvg PaidRevenue
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…180$60$10.3K
    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…90$60$5.3K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.10$410$4.9K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$270$4.6K
    99203The provider sees a new 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 provider…60$70$4.2K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…20$190$3.4K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.40$80$3K
    76705An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…50$60$2.5K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…50$50$2.4K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…70$30$2.3K

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    520001819090$130$13.1K
    50590435020$520$12.4K
    523566610020$520$12K
    992134,83310,82080$50$7.6K
    7417632846070$60$5.7K
    557008612020$180$4.8K
    7417813321030$110$4.1K
    52310256020$190$4K
    992039083,49030$70$3.1K
    5222461010$180$2.6K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David ElkinsWAMedical Physician Assistant$168.1K$0
    Bryan HoffINUrology Physician$106.7K$0
    Jennifer KeithINPhysician Assistant$91.1K$0
    Michael WalshMNAnesthesiology Physician$10.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Centerstone Of Indiana, Inc.INMental Health Clinic/Center (Including Community Mental Health Center)$0$318.8M
    Southern Indiana Pediatrics, LLCINPediatrics Physician$0$10.7M
    Limestone Health, LLCINMethadone Clinic$116.1K$9M
    Prime Healthcare Services - Monroe LLCINGeneral Acute Care Hospital$0$5.7M
    Hands At Home, LLCINHome Health Agency$0$4.1M
    Bloomington Pediatric Dentistry L.L.C.INPediatric Dentistry$0$3.1M
    Integ Health System, P.C.INAmbulatory Surgical Clinic/Center$1.8M$403.1K
    Joseph MackeyINOphthalmology Physician$2M$0
    Southern Indiana Surgery Center, LLCINAmbulatory Surgical Clinic/Center$1.4M$516.1K
    Warren ChangINOphthalmology Physician$1.5M$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Indiana Distribution
    Eric Smith — 0 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana