Physician

Richard Lee Smith, M.D.

According to 2025 Medicare claims, Richard Smith, M.D. (NPI: 1447460001) practices cardiology in the Morgantown, WV market, with the plurality of this provider's patient population coming from Preston, WV. This provider's primary affiliated billing organization is MONONGALIA COUNTY GENERAL HOSPITAL COMPANY (NPI: 1447673223; TIN: 237441353) and primary practice location at 26505-3494. Smith is affiliated with the ACO West Virginia (ACO ID: A3563) and Vandalia Health Network (ACO ID: A4513), participating under the MSSP model.

Smith's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 942 traditional Medicare patients, billed 2,542 HCPCS/CPT codes, and received $131,680 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 2,245 prescription claims across 482 beneficiaries totaling $500,776 in drug costs, led by Brilinta (Ticagrelor). 2022 DME data shows 24 claims. Open Payments data shows 21 records totaling $491. 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 declined steadily, from $192,372 to $131,680. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $23,645 to $9,396.

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$101K$202K2015 Medicare payment: $192,372 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $201,637 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $189,309 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $190,150 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $192,685 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $138,947 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $169,410 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $138,726 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $142,902 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $131,680 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,3263,383$192,372
20161,3833,593$201,637
20171,5403,503$189,309
20181,6413,823$190,150
20191,5963,892$192,685
20201,1642,555$138,947
20219832,364$169,410
20229132,266$138,726
20239462,285$142,902
20249422,542$131,680

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$264K$529K2015 Drug cost: $405,785 (USD; Tot_Drug_Cst)2016 Drug cost: $438,234 (USD; Tot_Drug_Cst)2017 Drug cost: $476,937 (USD; Tot_Drug_Cst)2018 Drug cost: $528,770 (USD; Tot_Drug_Cst)2019 Drug cost: $468,718 (USD; Tot_Drug_Cst)2020 Drug cost: $459,265 (USD; Tot_Drug_Cst)2021 Drug cost: $359,854 (USD; Tot_Drug_Cst)2022 Drug cost: $317,690 (USD; Tot_Drug_Cst)2023 Drug cost: $381,811 (USD; Tot_Drug_Cst)2024 Drug cost: $500,776 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155665,356$405,785
20165935,602$438,234
20175795,084$476,937
20186004,829$528,770
20196314,305$468,718
20205823,921$459,265
20215462,585$359,854
20224742,371$317,690
20235222,911$381,811
20244822,245$500,776

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$17K$35K2015 Medicare payment: $23,558 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $34,880 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $30,613 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $611 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $1,546 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R12$23,558
2016N/RN/RN/R
2017N/R17$34,880
2018N/R47$30,613
2019N/R12$611
2020N/RN/RN/R
2021N/RN/RN/R
2022N/R24$1,546
2023N/RN/RN/R
2024N/RN/RN/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.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more399527$62
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function400410$49
G2211Visit 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's316376$11
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes9096$9
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only127135$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
BrilintaTicagrelor1234,941$72,008
EliquisApixaban482,400$46,679
EntrestoSacubitril/Valsartan391,743$37,746
XareltoRivaroxaban331,710$31,527
Repatha SureclickEvolocumab15840$15,096

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.21$491ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
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 Richard Lee Smith, M.D.?

Tedicare shows public-source Medicare data for Richard Lee Smith, M.D. (NPI 1447460001), 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 Richard Lee Smith, M.D. have ACO affiliation data?

Richard Lee Smith, M.D. is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563) and Vandalia Health Network (MSSP, ACO ID A4513).

What billing organization is linked to Richard Lee Smith, M.D.?

Richard Lee Smith, M.D. is linked to MONONGALIA COUNTY GENERAL HOSPITAL COMPANY (billing NPI 1447673223) in the available physician profile data.

Does Richard Lee Smith, M.D. have Open Payments data?

Richard Lee Smith, M.D. has 21 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.