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    OpenPayerNPI Medicare & MedicaidTimothy Smith
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    Timothy Smith — Billing Profile & Reimbursement Data

    NPI 1649391715 · Beverly, MA · Gastroenterology Physician

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    Timothy Smith is a gastroenterology physician provider located in Beverly, Massachusetts. This profile covers 13 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
    OrganizationTimothy Smith
    Address100 Cummings Center, Ste 107c
    CityBeverly
    StateMA
    ZIP01915
    TaxonomyGastroenterology Physician
    NPI EnumeratedApril 3, 2007

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

    Payer SourceTotal Paid
    Medicare$94.9K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…150$200$29.5K
    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…210$100$20.9K
    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…130$70$8.7K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk40$180$7.4K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.90$80$7.1K
    45390The provider performs flexible colonoscopy along with excision of mucous membrane tissue using an endoscope.20$280$6.2K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…90$60$5.3K
    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…30$130$4.1K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$110$2K
    43249The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.20$90$1.4K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453856446060$260$23.8K
    992144,36315,410110$80$15.6K
    G01058828030$260$12.1K
    4538011746050$160$11.9K
    992325,2185,40070$60$9.3K
    992134,46113,70070$60$8.8K
    4323911447050$120$8.4K
    45390103020$290$6.2K
    992042,9525,87030$120$5.6K
    43249619020$210$4.7K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gary RogersFLDermatology Physician$364.9K$0
    Timothy KelliherMANeurology Physician$310.7K$10.7K
    Michael ArsenianMACardiovascular Disease Physician$305K$12K
    Jeffrey RubelMANephrology Physician$270.8K$0
    Samer NasserMANephrology Physician$263.9K$0
    Shant ParseghianMAEndocrinology, Diabetes & Metabolism Physician$238.5K$16.8K
    Jatinder AujlaNHInternal Medicine Physician$227.4K$0
    Peter TiffanyMAUrology Physician$204.9K$0
    Alexander DoumasMACardiovascular Disease Physician$182.5K$2.4K
    Mark FrankelMAGeriatric Psychiatry Physician$170.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Commonwealth Of MassachusetsMACase Management Agency$0$1.1B
    Northeast Behavioral Health CorporationMAMental Health Clinic/Center (Including Community Mental Health Center)$430.2K$128.3M
    Northeast Hospital CorporationMAGeneral Acute Care Hospital$0$67.9M
    Associated Home CareMAHome Health Agency$0$34.1M
    Standards Care Staffing, IncMAHome Health Agency$0$15.1M
    Commonwealth Of MassachusettsMACase Management Agency$0$11.3M
    Fbtc Transitional Sub, LLCMACommunity/Behavioral Health Agency$0$9.5M
    Bass River Day Activity Program, Inc.MADevelopmentally Disabled Services Day Training Agency$0$8.8M
    Pediatric Associates Of Greater Salem, IncMAPediatrics Physician$0$7M
    Communitas, Inc.MADevelopmentally Disabled Services Day Training Agency$0$6.7M

    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. Massachusetts Distribution
    Timothy Smith — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts