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    OpenPayerNPI Medicare & MedicaidSheri Smith
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    Sheri Smith — Billing Profile & Reimbursement Data

    NPI 1952035610 · Rexburg, ID · Physician Assistant

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    Sheri Smith is a physician assistant provider located in Rexburg, Idaho. This profile covers 12 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
    OrganizationSheri Smith
    Address32 W 1st S
    CityRexburg
    StateID
    ZIP83440
    TaxonomyPhysician Assistant
    NPI EnumeratedJuly 10, 2022

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

    Payer SourceTotal Paid
    Medicare$82.1K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…680$30$20.5K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…220$80$17.8K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.470$30$14.2K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…130$110$13.8K
    99458The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…320$30$8.1K
    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…40$80$2.7K
    99344The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…20$80$1.7K
    95250In this procedure, interstitial glucose levels are measured at regular intervals via subcutaneously implanted sensors provided by physician or other qualified health care professional's office for a…20$100$1.6K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…10$50$620
    G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)10$40$530

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993492280120$80$14.3K
    992142,0332,69090$70$10.4K
    9921510581040$100$6.5K
    99457230110$30$5.3K
    9945432090$30$4.8K
    9945832060$30$3.8K
    99348707050$40$3.6K
    9525031050$80$3.2K
    99344154020$80$2K
    99342172020$40$1.3K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Family First Medical Center, PLLCIDFamily Medicine Physician$0$1.6M
    Upper Valley Family Practice, PLLCIDFamily Medicine Physician$0$365.4K
    Rhonda StewartNCDiagnostic Radiology Physician$265.7K$61.8K
    Johnathan HaysVADiagnostic Radiology Physician$275K$32K
    Kenneth FoxNCDiagnostic Radiology Physician$303K$360
    Brett ZundelIDMedical Physician Assistant$158K$0
    Boyd SouthwickIDFamily Medicine Physician$122.4K$0
    Flint PackerIDFamily Medicine Physician$120.7K$0
    Craig SteinerIDFamily Medicine Physician$72K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of Madison School District 321IDLocal Education Agency (LEA)$0$17.1M
    Valley Help At Home Senior Care LLCIDIn Home Supportive Care Agency$0$7.9M
    Upper Valley Community Health Services IncIDFederally Qualified Health Center (FQHC)$0$7.6M
    Mhd Therapies, PLLCIDPhysical Therapist$0$7.4M
    Upper Valley Options, Inc.IDDevelopmentally Disabled Services Day Training Agency$0$3.7M
    Madison Co Memorial HospitalIDObstetrics & Gynecology Physician$0$2.6M
    Teton Medical Group PLLCIDFamily Medicine Physician$0$2.1M
    Clubhouse Pediatric Dentistry Of MadisonIDPediatric Dentistry$0$1.9M
    Seasons Medical, PLLCIDObstetrics & Gynecology Physician$0$1.8M
    Fall River Medical, PLLCIDPrimary Care Clinic/Center$0$1.7M

    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. Idaho Distribution
    Sheri Smith — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho