PAUL SMILEY, M.D.
Sports Medicine (Orthopaedic Surgery) Physician · BURLINGTON, MA
Individual Active NPI 1417057043
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 610 | 1,899 | $750,913 | $159,277 | $117,978 |
| 2023 | 646 | 2,094 | $748,486 | $194,978 | $148,984 |
| 2022 | 648 | 1,934 | $660,864 | $186,319 | $142,651 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 811 | $67 | $48 |
| 20610 | Aspiration and/or injection of fluid from large joint | 729 | $48 | $35 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 147 | $83 | $60 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 46 | $36 | $24 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 43 | $135 | $93 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 31 | $98 | $71 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 31 | $17 | $13 |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | 17 | $1,571 | $1,225 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ✓ | 59396 | MA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Sports Medicine (Orthopaedic Surgery) Physician providers in Massachusetts →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.