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    OpenPayerNPI Medicare & MedicaidJames Smith
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    James Smith — Billing Profile & Reimbursement Data

    NPI 1750676524 · Myrtle Beach, SC · Neurological Surgery Physician

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    James Smith is a neurological surgery physician provider located in Myrtle Beach, South Carolina. This profile covers 23 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
    OrganizationJames Smith
    Address920 Doug White Dr Ste 460
    CityMyrtle Beach
    StateSC
    ZIP29572
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedJune 9, 2011

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

    Payer SourceTotal Paid
    Medicare$304.6K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…240$130$31.1K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…50$560$30.5K
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…100$290$29.8K
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…30$1,180$29.6K
    22633In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…20$1,340$26.8K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…200$90$18.4K
    63056The provider uses a transpedicular approach to repair a bulging lumbar disc without manipulating the spinal cord. The approach is through the side of the pedicle of one lumbar vertebra, known as a…30$560$17.8K
    22551A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.10$1,260$15.1K
    63266In this procedure, the provider removes or evacuates an extradural growth in the thoracic spine using a technique known as a laminectomy to access the site.10$1,250$13.7K
    22310The provider treats a fracture of the vertebral body, the main part of a vertebra, one of the interlocking bones of the spine, in a closed procedure without manipulation. He places a cast or brace to…60$220$13.2K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    63685244020$5,770$138.5K
    992144,5417,860160$80$23.2K
    22551304020$1,200$21.6K
    22612165020$950$20K
    22633234020$900$17.9K
    6326611010$1,250$13.7K
    992321,7412,78090$60$12K
    992134,6487,690100$60$10.8K
    992333241,77080$90$10.7K
    2231011050$220$10.7K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Coastal Carolina Primary Care, LLCSCEndocrinology, Diabetes & Metabolism Physician$0$4M
    Michael MccaffreySCNeurology Physician$723.1K$0
    Thomas AndersonSCNeurological Surgery Physician$387.6K$0
    Barbara SarbSCPain Medicine (Psychiatry & Neurology) Physician$381.1K$0
    Catherine BrignoniCANeurology Physician$328.9K$0
    Gabriel PhillipsSCNeurological Surgery Physician$307.4K$0
    Joseph CheatleNCNeurological Surgery Physician$193.1K$0
    Eugene GiddensSCNeurological Surgery Physician$185K$0
    George SandozSCNeurology Physician$164.7K$5.4K
    Russell WeiszFLOrthopaedic Surgery Physician$165.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Acs Primary Care Physicians - Southeast PCSCEmergency Medicine Physician$0$81.7M
    Grand Strand Pediatrics & Adolescent Medicine, P.A.SCPediatric Adolescent Medicine Physician$0$28M
    Grand Strand Regional Medical Center LLCSCGeneral Acute Care Hospital$0$27.4M
    Carolina Regional Surgery Center. LtdSCAmbulatory Surgical Clinic/Center$3M$1.7M
    Brandon CoakleySCMOHS-Micrographic Surgery Physician$3.5M$0
    Parkway Surgery CenterSCAmbulatory Surgical Clinic/Center$3.5M$0
    Jordan HendersonSCHematology & Oncology Physician$3.1M$0
    Dejuania Brown-rawlsSCHematology & Oncology Physician$2.8M$0
    David LazarSCRheumatology Physician$2.7M$0
    Stephen HammondSCDermatopathology Physician$2.3M$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. South Carolina Distribution
    James Smith — 5 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina