EDWARD SMITH, D.O.
Otolaryngology/Facial Plastic Surgery Physician · SHEBOYGAN, WI
Individual Active NPI 1962617845
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 250 | 1,454 | $501,473 | $85,039 | $60,494 |
| 2023 | 375 | 1,208 | $572,218 | $116,974 | $83,834 |
| 2022 | 356 | 871 | $474,669 | $103,663 | $74,117 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 114 | $120 | $83 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 89 | $85 | $60 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 61 | $104 | $66 |
| 69210 | Removal of impacted ear wax | 56 | $42 | $24 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 53 | $119 | $81 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 50 | $173 | $118 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 44 | $155 | $112 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 31 | $53 | $34 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | ✓ | 55826-21 | WI |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 5101016859 | MI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Otolaryngology/Facial Plastic Surgery Physician providers in Wisconsin →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.