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NPI 1689977639 · Jefferson Hills, PA · Anatomic Pathology & Clinical Pathology Physician
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Matthew Smith is a anatomic pathology & clinical pathology physician provider located in Jefferson Hills, Pennsylvania. This profile covers 16 Medicare and 3 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 | Matthew Smith |
| Address | 565 Coal Valley Rd |
| City | Jefferson Hills |
| State | PA |
| ZIP | 15025 |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| NPI Enumerated | December 14, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $36.3K |
| Medicaid | $5.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 560 | $30 | $14.7K |
| 88341 | The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified… | 300 | $20 | $6.5K |
| 88307 | The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 50 | $60 | $2.9K |
| 88342 | The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,… | 100 | $30 | $2.7K |
| 88173 | The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results. | 40 | $50 | $1.9K |
| 86255 | The lab analyst performs an immunoassay test to screen a patient’s blood, typically serum, for an antibody to a noninfectious agent using a fluorescent method. As a screening test, results show only… | 110 | $10 | $1.4K |
| 88360 | The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the… | 40 | $30 | $1.2K |
| 88112 | Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in… | 40 | $20 | $840 |
| 88311 | The lab analyst performs a decalcification procedure on a specimen. Dissolving the calcium makes it easier to perform certain examinations. | 90 | $10 | $780 |
| 84165 | The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic… | 60 | $10 | $780 |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 88305 | 292 | 620 | 530 | $40 | $50.4K |
| 88341 | 165 | 530 | 200 | $30 | $8.1K |
| 88312 | 275 | 320 | 40 | $60 | $7.6K |
| 88342 | 271 | 570 | 100 | $40 | $7.3K |
| 84165 | 59 | 80 | 170 | $10 | $6.3K |
| 88307 | 319 | 460 | 70 | $60 | $6K |
| 86334 | 59 | 70 | 100 | $20 | $4.7K |
| 88112 | 206 | 260 | 80 | $30 | $4.6K |
| 88173 | 114 | 220 | 40 | $50 | $3.9K |
| 88360 | 180 | 280 | 50 | $30 | $2.5K |
Showing 1–10 of 16
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 170 | $30 | $4.8K |
| 86255 | The lab analyst performs an immunoassay test to screen a patient’s blood, typically serum, for an antibody to a noninfectious agent using a fluorescent method. As a screening test, results show only… | 30 | $20 | $520 |
| 84165 | The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic… | 20 | $10 | $180 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 300 | 490 | 320 | $40 | $55.9K |
| 86255 | The lab analyst performs an immunoassay test to screen a patient’s blood, typically serum, for an antibody to a noninfectious agent using a fluorescent method. As a screening test, results show only… | 32 | 40 | 70 | $20 | $8.6K |
| 84165 | The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic… | 52 | 70 | 80 | $10 | $7.6K |
Other providers in the same ZIP code as Matthew Smith, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Jefferson Regional Medical Center | PA | General Acute Care Hospital | $0 | $12.7M |
| Borough Of Jefferson Ambulance Association Inc | PA | Land Ambulance | $421.7K | $2.4M |
| Carol Mayfield | PA | Family Nurse Practitioner | $568.5K | $0 |
| Riaz Rahman | PA | Interventional Cardiology Physician | $391.5K | $0 |
| Tyler Willenbrink | PA | MOHS-Micrographic Surgery Physician | $262.2K | $0 |
| Feras Aloka | PA | Internal Medicine Physician | $239.1K | $0 |
| Rajesh Mehta | PA | Pain Medicine (Physical Medicine & Rehabilitation) Physician | $181.1K | $19K |
| Gennady Geskin | PA | Cardiovascular Disease Physician | $152.1K | $0 |
| Thomas Baer | PA | Foot & Ankle Surgery Podiatrist | $114.5K | $0 |
| Scott Glazier | PA | Emergency Medicine Physician | $88.8K | $21.7K |
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