DAVID SMAIL, MD
Surgery Physician · BEVERLY, MA
Individual Active NPI 1679506802
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 270 | 490 | $372,996 | $101,288 | $79,247 |
| 2023 | 251 | 505 | $358,412 | $94,682 | $73,560 |
| 2022 | 276 | 529 | $400,640 | $106,889 | $82,476 |
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 | 72 | $97 | $70 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 46 | $134 | $89 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 39 | $137 | $108 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 37 | $119 | $79 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 35 | $83 | $67 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 28 | $261 | $222 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 28 | $6 | $4 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 17 | $169 | $114 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 16 | $193 | $147 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 15 | $107 | $91 |
| 19301 | Partial removal of breast | 12 | $667 | $524 |
| 38900 | Imaging of lymph nodes during surgery | 11 | $142 | $115 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 226248 | MA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Surgery Physician providers in Massachusetts
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.