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    OpenPayerNPI Medicare & MedicaidBradley Smith
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    Bradley Smith — Billing Profile & Reimbursement Data

    NPI 1588608970 · Brentwood, MO · Retina Specialist (Ophthalmology) Physician

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    Bradley Smith is a retina specialist (ophthalmology) physician provider located in Brentwood, Missouri. 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
    OrganizationBradley Smith
    Address1600 S Brentwood Blvd Ste 700
    CityBrentwood
    StateMO
    ZIP63144
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJune 15, 2006

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

    Payer SourceTotal Paid
    Medicare$2M
    Medicaid$0

    Key Findings

    This profile is overwhelmingly Medicare-driven: lifetime Medicare revenue is $2M while Medicaid billing is none on file, so the provider effectively operates as a single-payer (Medicare) participant for the data shown. The NPI was enumerated on 2006-06-15 (~20 years ago), indicating long-tenure in the Medicare program and an established practice presence in Brentwood, MO.

    Revenue concentration is high: the precomputed top 3 Medicare codes account for 75.6% of this provider's total Medicare revenue, with J0178 contributing $769.3K (38.7% of Medicare revenue) and J2777 contributing $617.7K (31.1% of Medicare revenue), signaling that a small number of anti-VEGF drug codes drive the majority of receipts.

    The clinical/service mix is characteristic of a retina specialist focused on intravitreal pharmacologic therapy and high-volume retinal imaging: the highest-revenue codes are drug injections J0178 and J2777 and the procedural injection code 67028, and the practice also reports very high utilization of retinal imaging code 92134 (OCT). This combination of anti-VEGF injections plus advanced imaging is consistent with medical retina management and chronic outpatient treatment rather than primary surgical retina concentration.

    Competitive standing by code is mixed: for major anti-VEGF agents the provider ranks in the middle-to-upper range nationally (J0178 ranks #1154 of 3204, 64th percentile; J2777 ranks #485 of 2039, 76th percentile), described in the source as "typical, unremarkable volume" for those codes, indicating the provider is a moderate-volume injector rather than a national leader for these drugs. In contrast, the provider is an extreme outlier on retinal OCT imaging: 92134 ranks #230 of 26868 (99th percentile) and is labeled an "extreme outlier, far above typical national volume," showing very high diagnostic imaging throughput relative to peers.

    Office visit E/M volumes are also elevated: 99213 ranks #6767 of 457151 (99th percentile) and 92014 ranks #1592 of 35415 (95th percentile), with the source labels "extreme outlier" and "notably above typical national volume," respectively. This indicates sustained high outpatient follow-up and examination activity that supports frequent treatment and imaging cycles typical for a retina practice managing chronic retinal disease.

    Surgical retina procedures are present but represent a small share of revenue and volume: 67042 (vitrectomy with membrane peel) shows 22 claims and $19.6K revenue and ranks #467 of 1087 (54th percentile), and 67108 (retinal detachment repair) shows 20 claims and $18.3K revenue and ranks #228 of 706 (66th percentile). These counts suggest the practice performs occasional surgical interventions but is predominantly an outpatient injection-and-imaging clinic rather than a high-volume surgical center.

    Payer mix and operational implications: with no Medicaid billing on file and $2M in Medicare revenue, the provider’s reimbursement exposure and patient population are concentrated in Medicare beneficiaries; contract negotiations or network participation decisions should treat this entity as essentially a Medicare-only revenue profile. Given the heavy reliance on a few high-revenue drug codes (J0178, J2777) and very high imaging and E/M utilization, risk and utilization oversight should focus on longitudinal injection schedules, drug-selection patterns, and imaging frequency consistent with retina disease management.

    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
    J0178Injection, aflibercept, 1 mg1,130$680$769.3K
    J2777Injection, faricimab‑svoa, 0.1 mg21,300$30$617.7K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.1,330$90$115.6K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.3,490$30$97.6K
    J2778Injection, ranibizumab, 0.1 mg540$180$95.9K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…1,020$80$85.5K
    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…980$60$61.6K
    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…390$100$37K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.220$100$20.9K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…20$890$19.6K

    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
    J01782160820$690$683.3K
    J277775011,730$30$388.9K
    J27781320540$180$203.8K
    670281580600$90$69.7K
    67042123020$1,070$26.8K
    J90351440170$60$21.8K
    6710862010$1,060$18K
    9201421730120$80$18K
    992141,1538,960100$80$13.9K
    99213858,73070$50$7K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nicholas EngelbrechtMORetina Specialist (Ophthalmology) Physician$3.2M$10K
    Kevin BlinderMORetina Specialist (Ophthalmology) Physician$2.6M$39.4K
    Athanasios PapakostasMORetina Specialist (Ophthalmology) Physician$2.3M$103.5K
    Sabin DangMORetina Specialist (Ophthalmology) Physician$1.9M$1.5K
    Avinash HonasogeMORetina Specialist (Ophthalmology) Physician$1.7M$480
    Alia DurraniMORetina Specialist (Ophthalmology) Physician$1.5M$4.6K
    Barton BlackorbyMORetina Specialist (Ophthalmology) Physician$1.1M$0
    Daniel JosephMORetina Specialist (Ophthalmology) Physician$951.4K$0
    Sweta KavaliMORetina Specialist (Ophthalmology) Physician$781.8K$21.3K
    Arash MansouriVAOphthalmology Physician$518.4K$19.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pyramid Homemaker Services, Inc.MOIn Home Supportive Care Agency$0$15.7M
    Heeral ShahMORetina Specialist (Ophthalmology) Physician$1.6M$0
    Sam MartinMOInterventional Pain Medicine Physician$34.1K$1.3M
    Thomas KrummenacherMORetina Specialist (Ophthalmology) Physician$737.7K$280
    Nicholas IafeMORetina Specialist (Ophthalmology) Physician$426.4K$0
    Empowerme Diagnostics LLCMOClinical Medical Laboratory$271.9K$0
    Rachel DarkenMONeurology Physician$221.4K$0
    Luqi ChiMONeurology Physician$137.3K$0
    Craig SorceMOOptometrist$101.8K$0
    Kelsey MelsheimerMOOccupational Therapist$83.1K$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.

    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. Missouri Distribution
    Bradley Smith — 4 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri