Physician

Malcolm A Smith, MD

According to 2025 Medicare claims, Malcolm Smith, MD (NPI: 1174525174) practices pulmonary disease in the Texarkana, TX-AR market, with the plurality of this provider's patient population coming from Bowie, TX. This provider's primary affiliated billing organization is COLLOM AND CARNEY CLINIC (NPI: 1083696801; TIN: 751151440) and primary practice location at 75503-2125. Smith is affiliated with the Prime Care Managers, LLC (ACO ID: A3280), participating under the MSSP model.

Smith's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,029 traditional Medicare patients, billed 4,531 HCPCS/CPT codes, and received $326,593 in Medicare payments. The top billing code was 95811 (Sleep study in sleep lab with continuous airway pressure (6 years or older)). Part D data shows 2,343 prescription claims across 321 beneficiaries totaling $1,709,943 in drug costs, led by Ofev (Nintedanib Esylate). DME data shows 2,169 claims. Open Payments data shows 95 records totaling $2,409. 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 changed little. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $388,911 to $1,709,943. For DME billing, reported payments did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$239K$478K2015 Medicare payment: $443,198 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $454,165 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $442,043 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $421,439 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $477,953 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $350,598 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $418,249 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $353,923 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $340,419 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $326,593 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152,8837,752$443,198
20163,12811,619$454,165
20173,2049,061$442,043
20182,8066,756$421,439
20192,9798,373$477,953
20202,5076,194$350,598
20212,7846,511$418,249
20222,7595,791$353,923
20232,6185,336$340,419
20242,0294,531$326,593

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$855K$1.7M2015 Drug cost: $388,911 (USD; Tot_Drug_Cst)2016 Drug cost: $372,990 (USD; Tot_Drug_Cst)2017 Drug cost: $590,699 (USD; Tot_Drug_Cst)2018 Drug cost: $545,749 (USD; Tot_Drug_Cst)2019 Drug cost: $615,791 (USD; Tot_Drug_Cst)2020 Drug cost: $940,161 (USD; Tot_Drug_Cst)2021 Drug cost: $1,123,713 (USD; Tot_Drug_Cst)2022 Drug cost: $1,194,572 (USD; Tot_Drug_Cst)2023 Drug cost: $1,266,143 (USD; Tot_Drug_Cst)2024 Drug cost: $1,709,943 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153152,047$388,911
20163141,813$372,990
20173511,979$590,699
20183371,798$545,749
20193131,682$615,791
20203031,777$940,161
20213221,975$1,123,713
20223211,916$1,194,572
20233412,281$1,266,143
20243212,343$1,709,943

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$124K$247K2015 Medicare payment: $247,365 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $161,020 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $133,313 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $109,745 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $125,591 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $143,772 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $149,126 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $139,265 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $153,470 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $167,525 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20151,0713,805$247,365
20169523,582$161,020
20179383,488$133,313
20187952,770$109,745
20197272,577$125,591
20206502,668$143,772
20215522,335$149,126
20224472,119$139,265
20235352,284$153,470
20245072,169$167,525

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
95811Sleep study in sleep lab with continuous airway pressure (6 years or older)272280$373
94729Test to examine how well the lungs exchange gases315318$38
94726Test to determine lung volumes using sensors317320$37
94060Test to measure expiratory airflow and volume changes before and after medication administration241244$25
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only822994$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OfevNintedanib Esylate692,070$917,388
Trelegy ElliptaFluticasone/Umeclidin/Vilanter2269,420$195,147
OpsumitMacitentan11330$138,890
PirfenidonePirfenidone13390$116,149
Breztri AerosphereBudesonide/Glycopyr/Formoterol502,100$42,237

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateY40349$33,165
J7677Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgramNN/R32$25,698
E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)YN/R20$20,153
E0483High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, eachYN/R14$12,510
E1392Portable oxygen concentrator, rentalY27229$8,240

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.95$2,409United Therapeutics Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Malcolm A. Smith, MD?

Tedicare shows public-source Medicare data for Malcolm A. Smith, MD (NPI 1174525174), 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 Malcolm A. Smith, MD have ACO affiliation data?

Malcolm A. Smith, MD is shown with ACO affiliation data for Prime Care Managers, LLC (MSSP, ACO ID A3280).

What billing organization is linked to Malcolm A. Smith, MD?

Malcolm A. Smith, MD is linked to COLLOM AND CARNEY CLINIC (billing NPI 1083696801) in the available physician profile data.

Does Malcolm A. Smith, MD have Open Payments data?

Malcolm A. Smith, MD has 95 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.