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    OpenPayerNPI Medicare & MedicaidTony Smith
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    Tony Smith — Billing Profile & Reimbursement Data

    NPI 1679668354 · Durham, NC · Diagnostic Radiology Physician

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    Tony Smith is a diagnostic radiology physician provider located in Durham, North Carolina. This profile covers 15 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
    OrganizationTony Smith
    Address4101 N Roxboro St
    CityDurham
    StateNC
    ZIP27704
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedOctober 4, 2006

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

    Payer SourceTotal Paid
    Medicare$44K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36561A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient.  The catheter's tip must terminate in the…40$240$8.6K
    36558The provider places a catheter, without a subcutaneous port or pump in one of the major veins carrying the blood to the heart or directly into the right atrium, to administer medication, nutrients,…40$180$7.5K
    37193The provider inserts a catheter in a vein at the patient’s groin level or the neck and maneuvers the catheter to remove a filter device already placed in the inferior vena cava, or the IVC. He…20$250$5K
    49440In this procedure, the provider inserts a gastrostomy tube through the skin using fluoroscopic guidance. The provider may use this treatment for patients suffering from abnormalities of the mouth,…30$140$3.9K
    37191The provider inserts a catheter in a vein at the patient’s groin level or the neck and maneuvers the catheter to place a filter device in the inferior vena cava, or the IVC. He visualizes the blood…20$150$2.6K
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…270$10$2.4K
    36590The provider removes a tunneled central venous access device along with the subcutaneous port or pump that was previously placed through a central or peripheral insertion.20$120$2.3K
    49452Under fluoroscopic guidance, the provider replaces the existing gastrojejunostomy tube through the skin. Providers may exchange the tube when the existing tube becomes dislodged or no longer…20$90$2K
    50432The provider uses ultrasound and/or fluoroscopy (imaging technologies that display live images on a video monitor) to place a catheter through the skin (percutaneously) into the renal pelvis to…10$140$2K
    36589In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump.20$100$1.9K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36561513020$280$5.3K
    3719311020$250$5K
    36558510020$240$4.7K
    3719121020$170$2.8K
    4945221030$90$2.8K
    4944011010$150$2.2K
    5043241010$160$2.2K
    36589206020$110$2.2K
    3659012010$140$1.9K
    5043522020$80$1.4K

    Showing 1–10 of 15

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Emergeortho PANCOrthopaedic Surgery Physician$0$20.9M
    Private Diagnostic Clinic, PLLCNCPediatrics Physician$0$17.5M
    Sunrise Clinical Associates, PLLCNCCommunity/Behavioral Health Agency$0$16.5M
    County Of Durham Finance DeptNCLand Ambulance$2.4M$11.3M
    Rapha Healthcare Services,llcNCMulti-Specialty Clinic/Center$0$13.6M
    Php Of Nc, IncNCDevelopmentally Disabled Services Day Training Agency$0$12.7M
    Bayada Home Health, Care, Inc.NCHome Health Agency$0$11.6M
    Duke University Health System, Inc.NCGeneral Acute Care Hospital$0$11.6M
    Duke University Health System, Inc.NCParenteral & Enteral Nutrition Supplies (DME)$0$8.3M
    Duke University Health System, Inc.NCInternal Medicine Physician$0$7.6M

    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. North Carolina Distribution
    Tony Smith — 5 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina