MICHAEL SMITH, M.D.
Otolaryngology Physician · MATTOON, IL
Individual Active NPI 1215043971
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 421 | 683 | $448,290 | $62,379 | $44,111 |
| 2023 | 421 | 674 | $390,897 | $62,837 | $44,913 |
| 2022 | 488 | 819 | $377,415 | $76,648 | $53,505 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 112 | $118 | $82 |
| 95806 | Sleep study including heart rate, breathing, airflow, and effort | 81 | $42 | $30 |
| 95810 | Sleep study in sleep lab (6 years or older) | 70 | $115 | $84 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 55 | $63 | $37 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 49 | $82 | $55 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 30 | $64 | $43 |
| 69210 | Removal of impacted ear wax | 25 | $32 | $22 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 23 | $92 | $62 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 23 | $70 | $54 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 21 | $45 | $24 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 19 | $35 | $22 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 16 | $90 | $68 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ✓ | 036-092274 | IL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Otolaryngology Physician providers in Illinois
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.