Physician

Saksith Smithason, M.D.

According to 2025 Medicare claims, Saksith Smithason, M.D. (NPI: 1154651867) practices neurosurgery in the Monroe, MI market, with the plurality of this provider's patient population coming from Monroe, MI. This provider's primary affiliated billing organization is PROMEDICA CENTRAL PHYSICIANS (NPI: 1043270150; TIN: 341881137) and primary practice location at 48162-7815. Smithason is affiliated with the ProMedica Health Network, Inc. (ACO ID: A3016), Physician Leaders Direct Contracting Entity, LLC (ACO ID: D0171), and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under both the MSSP and REACH models.

Smithason's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 187 traditional Medicare patients, billed 429 HCPCS/CPT codes, and received $99,096 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 522 prescription claims across 123 beneficiaries totaling $4,284 in drug costs, led by Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen). 2018 DME data shows 21 claims. Open Payments data shows 2 records totaling $35. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $54,805 and ending at $99,096. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $617 and ending at $4,284. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	142	234	$54,805
2017	327	716	$194,927
2018	356	780	$193,397
2019	255	497	$93,877
2020	152	283	$45,129
2021	246	495	$87,733
2022	220	448	$97,654
2023	213	409	$78,489
2024	187	429	$99,096

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	18	27	$617
2017	45	92	$1,645
2018	109	235	$4,220
2019	126	384	$6,545
2020	67	138	$1,693
2021	115	272	$2,633
2022	106	235	$2,395
2023	121	389	$4,328
2024	123	522	$4,284

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	13	13	$44,145
2018	21	21	$69,609
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$154
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$129
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	48	$98
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$77
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	66	99	$65

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	147	2,168	$1,018
Pregabalin	Pregabalin	24	700	$794
Cyclobenzaprine Hcl	Cyclobenzaprine Hcl	112	2,294	$538
Gabapentin	Gabapentin	53	1,515	$399
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	45	607	$196

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$35	SI-BONE, INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Saksith Smithason, M.D.?

Tedicare shows public-source Medicare data for Saksith Smithason, M.D. (NPI 1154651867), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Saksith Smithason, M.D. have ACO affiliation data?

Saksith Smithason, M.D. is shown with ACO affiliation data for ProMedica Health Network, Inc. (MSSP, ACO ID A3016), Physician Leaders Direct Contracting Entity, LLC (REACH, ACO ID D0171), and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Saksith Smithason, M.D.?

Saksith Smithason, M.D. is linked to PROMEDICA CENTRAL PHYSICIANS (billing NPI 1043270150) in the available physician profile data.

Does Saksith Smithason, M.D. have Open Payments data?

Saksith Smithason, M.D. has 2 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.