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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHugh Smisson
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    Hugh Smisson — Billing Profile & Reimbursement Data

    NPI 1922054998 · Macon, GA · Neurological Surgery Physician

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    Hugh Smisson is a neurological surgery physician provider located in Macon, Georgia. This profile covers 36 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
    OrganizationHugh Smisson
    Address840 Pine St
    CityMacon
    StateGA
    ZIP31201
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedMay 25, 2006

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

    Payer SourceTotal Paid
    Medicare$190.2K
    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.

    36 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…480$60$29.2K
    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…20$1,180$21.2K
    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.20$1,230$20.9K
    99214The 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…130$90$11K
    27279The provider performs sacroiliac (SI) joint fusion using a percutaneous or minimally invasive approach. The SI joint is where the sacrum (the base of the spine) meets the ilium (part of the pelvic…20$620$9.3K
    63030This procedure is laminotomy of one lumbar interspace with decompression of the nerve root(s), and includes a partial facetectomy, foraminotomy, and/or the excision of a herniated intervertebral…20$470$8.5K
    22845The provider places spinal instrumentation at the front of the spine across two to three vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…20$480$7.2K
    99203The provider sees a new 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 provider…80$80$6.4K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…90$70$6.4K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…90$60$5.3K

    Showing 1–10 of 36

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    36 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2727951020$4,070$85.5K
    22612306020$1,060$22.3K
    992146,48713,640120$80$17.8K
    6449329132060$190$16.8K
    6303031020$950$15.1K
    22551176010$980$14.7K
    992322,3925,01080$60$10.9K
    623237928040$150$9.3K
    9921390613,36080$60$9.2K
    70450531590170$30$7.3K

    Showing 1–10 of 36

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Georgia Neurosurgical Institute Outpatient Surgery CenterGAAmbulatory Surgical Clinic/Center$696.3K$0
    Marcos CruzPRNeurology Physician$142.7K$63.2K
    Joseph MoreiraNYNeurology Physician$157.9K$0
    Igor De CastroGANeurological Surgery Physician$134.3K$0
    Richard RoweGANeurological Surgery Physician$128.1K$0
    Kim JohnstonGANeurological Surgery Physician$113K$0
    Shawn MasiaNYNeurology Physician$104.6K$0
    Joe RobinsonGANeurological Surgery Physician$68.1K$0
    Sourabh LahotiGAVascular Neurology Physician$50.1K$0
    Arthur GrigorianGANeurological Surgery Physician$30.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Health Services Of Central Georgia, IncGAMulti-Specialty Clinic/Center$0$18.5M
    Central Georgia Emergency Group, LLCGAEmergency Medicine Physician$0$8.8M
    Middle Georgia PediatricsGAPediatric Adolescent Medicine Physician$0$4.2M
    Linda HendricksGASpecialist$3.1M$0
    Mgas Holdings, LLCGAAmbulance$2.5M$36.9K
    Marcus WeldonGAHematology & Oncology Physician$2.5M$0
    Cogent Healthcare Of Macon, LLCGAInternal Medicine Physician$0$1.8M
    Central Georgia Pediatrics, Inc.GAPediatric Adolescent Medicine Physician$0$1.6M
    Alan JusticeGAInternal Medicine Physician$1.4M$0
    Central Georgia Pet LLCGARadiation Oncology Physician$1.4M$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. Georgia Distribution
    Hugh Smisson — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia