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    OpenPayerNPI Medicare & MedicaidStephen Smith
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    Stephen Smith — Billing Profile & Reimbursement Data

    NPI 1851390488 · Raleigh, NC · Physician Assistant

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    Stephen Smith is a physician assistant provider located in Raleigh, North Carolina. This profile covers 17 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
    OrganizationStephen Smith
    Address3001 Edwards Mill Rd
    CityRaleigh
    StateNC
    ZIP27612
    TaxonomyPhysician Assistant
    NPI EnumeratedJuly 15, 2005

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

    Payer SourceTotal Paid
    Medicare$97.7K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…490$50$22.8K
    J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose210$100$20.7K
    J7328Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg18,820$1$18.8K
    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…170$50$8.9K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…70$120$8.7K
    J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose70$100$6.5K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…30$130$4.3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…100$30$3.2K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.90$20$2.2K
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…10$130$1.8K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274475946030$1,000$41.8K
    2713010132030$990$30.8K
    234728613020$750$17.9K
    J732377070$100$10.3K
    23430183010$530$8.9K
    J7324153050$100$8.1K
    J73287509,410$1$7.2K
    992133,74216,32070$50$7.1K
    20610351,62060$50$5.1K
    992035,1985,45030$70$3.1K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John ChiavettaNCOrthopaedic Surgery Physician$364.8K$0
    Tyler WattersNCOrthopaedic Surgery Physician$339.4K$0
    Bradley VaughnNCOrthopaedic Surgery Physician$328.4K$0
    Robert WykerNCOrthopaedic Surgery Physician$269.4K$0
    David McnabbNCOrthopaedic Surgery Physician$254.6K$0
    Derek DeyoungNCPhysician Assistant$166.2K$0
    Joseph SchreiberNCSurgery of the Hand (Surgery) Physician$150.7K$0
    William IsbellNCOrthopaedic Surgery Physician$149.6K$0
    Joseph BarkerNCOrthopaedic Surgery Physician$134.2K$0
    Harrison TuttleNCSurgery of the Hand (Surgery) Physician$130.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.NCHome Health Agency$0$15.9M
    Omni Family Of Services North Carolina Inc.NCCommunity/Behavioral Health Agency$0$10.7M
    Pacific Staffing IncNCIn Home Supportive Care Agency$0$10M
    Easter Seals Ucp North Carolina & Virginia, Inc.NCCommunity/Behavioral Health Agency$0$9.3M
    Community Connections Healthcare Services, LLCNCClinical Social Worker$0$9.2M
    Wp-raleigh Health Holdings, LLCNCAdult Care Home Facility$0$8.7M
    A. Silvia RossNCSpecialist$1.9M$0
    Orthopaedic Surgery Center Of Raleigh LLCNCOrthopaedic Surgery Physician$1.1M$0
    Sherry SinclairNCSpecialist$905.3K$0
    Priority Care Ambulance Inc.NCLand Ambulance$687.3K$154.3K

    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. North Carolina Distribution
    Stephen Smith — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina