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NPI 1861409245 · Jackson, TN · Sports Medicine (Orthopaedic Surgery) Physician
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Adam Smith is a sports medicine (orthopaedic surgery) physician provider located in Jackson, Tennessee. This profile covers 12 Medicare and 2 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 | Adam Smith |
| Address | 24 Physicians Dr |
| City | Jackson |
| State | TN |
| ZIP | 38305 |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| NPI Enumerated | August 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $88.6K |
| Medicaid | $2.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 23472 | In 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… | 40 | $1,020 | $40.8K |
| 73221 | In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or… | 180 | $70 | $12.4K |
| 99213 | The 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… | 150 | $60 | $9.5K |
| 99214 | The 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… | 120 | $80 | $9K |
| 29823 | The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the… | 20 | $300 | $4.8K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 210 | $20 | $4.5K |
| 72141 | In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material. | 40 | $60 | $2.6K |
| 20611 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe… | 40 | $70 | $2.5K |
| 73080 | X–rays of the extremities are performed to assess injury, fracture, arthritis, bone spurs, tumors, or congenital abnormalities. Extremity X–rays include the hand, wrist, arm, foot, ankle, hip, leg,… | 40 | $20 | $840 |
| 73130 | In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand. | 30 | $30 | $680 |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 23472 | 20 | 80 | 20 | $800 | $23.2K |
| 99214 | 5,846 | 11,370 | 120 | $80 | $16.6K |
| 99213 | 3,278 | 11,030 | 80 | $50 | $8K |
| 29823 | 20 | 50 | 20 | $320 | $6.7K |
| 20611 | 126 | 210 | 50 | $70 | $6.3K |
| 73221 | 6 | 250 | 30 | $80 | $4.2K |
| 72141 | 87 | 300 | 30 | $70 | $3.2K |
| 99212 | 1,564 | 2,140 | 30 | $30 | $2K |
| 73030 | 44 | 1,010 | 40 | $20 | $1.1K |
| 73130 | 256 | 550 | 30 | $20 | $810 |
Showing 1–10 of 12
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 90 | $20 | $2.2K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 50 | $10 | $460 |
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 3,112 | 4,050 | 620 | $30 | $183.9K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 101 | 150 | 120 | $10 | $3.5K |
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