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    OpenPayerNPI Medicare & MedicaidGregory Smith
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    Gregory Smith — Billing Profile & Reimbursement Data

    NPI 1952322596 · Sacramento, CA · Internal Medicine Physician

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    Gregory Smith is a internal medicine physician provider located in Sacramento, California. This profile covers 27 Medicare and 13 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)

    FieldValue
    Entity TypeIndividual
    OrganizationGregory Smith
    Address7600 Hospital Dr Ste K
    CitySacramento
    StateCA
    ZIP95823
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJuly 21, 2006

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

    Payer SourceTotal Paid
    Medicare$433K
    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…2,150$30$68.6K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…330$150$48.4K
    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…470$100$45.2K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…600$60$36.4K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…480$60$30.4K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…690$40$30.2K
    G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…750$40$26.4K
    99442N/A360$70$24.5K
    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…170$140$23.6K
    99443N/A170$100$17K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G018124738060$90$42.9K
    993084181,640190$60$35.5K
    9931080184090$120$31.2K
    992145,59737,970120$90$23.2K
    9949164130110$70$18K
    99306831,32060$150$15.5K
    992152,54815,36050$130$14.4K
    9930561471050$110$13.4K
    992137,61434,66080$70$13.2K
    G04394,1227,80060$130$11.9K

    Showing 1–10 of 27

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    3074FNo Summary found for this code260$0$0
    3075FNo Summary found for this code50$0$0
    3077FNo Summary found for this code100$0$0
    3078FNo Summary found for this code210$0$0
    3079FNo Summary found for this code90$0$0
    3080FNo Summary found for this code100$0$0
    82962Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…20$0$0
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…10$0$0
    99173The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from…20$0$0
    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…500$0$0

    Showing 1–10 of 13

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    13 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…10,64113,300640$40$169.6K
    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…8,23014,520760$10$122.8K
    82962Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…1,0991,180490$1$10.8K
    G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…102110120$10$4.3K
    99173The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from…2,6052,830580$1$3.3K
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…1,1201,21060$10$3.1K
    Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory43949090$1$640
    3074FNo Summary found for this code1,8013,010450$1$360
    3078FNo Summary found for this code1,9373,040460$1$230
    3079FNo Summary found for this code1,4242,080250$1$100

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sarju PatelCAUveitis and Ocular Inflammatory Disease (Ophthalmology) Physician$7.5M$0
    Carlos Medina MendezCARetina Specialist (Ophthalmology) Physician$6M$0
    Robert WendelCARetina Specialist (Ophthalmology) Physician$4.7M$0
    Cameron PoleCAOphthalmology Physician$4.5M$0
    Margaret ChangCARetina Specialist (Ophthalmology) Physician$4.3M$0
    Tony TsaiCARetina Specialist (Ophthalmology) Physician$3.9M$0
    Byunghee KimKYFoot & Ankle Surgery Podiatrist$3.9M$0
    David CuppCARetina Specialist (Ophthalmology) Physician$3.8M$0
    David TelanderCARetina Specialist (Ophthalmology) Physician$3.6M$0
    Christianne WaCARetina Specialist (Ophthalmology) Physician$3.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of SacramentoCAAdult Mental Health Clinic/Center$0$903M
    County Of SacramentoCACommunity/Behavioral Health Agency$0$179.8M
    Kaiser Foundation HospitalsCAGeneral Acute Care Hospital$0$128M
    Dignity Community CareCAGeneral Acute Care Hospital$0$86.1M
    Prithipal SethiCAUrology Physician$1.1M$0
    Dawei ZhengCAFamily Medicine Physician$918.2K$0
    Treatment Associates, Inc.CAMethadone Clinic$475.2K$19K
    Paramjit TakharCAFamily Medicine Physician$333.4K$0
    Stephen HowellCAOrthopaedic Surgery Physician$270.7K$0
    Ushir PatelCANephrology Physician$251.2K$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. California Distribution
    Gregory Smith — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Gregory Smith — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California