Physician

Matthew J Smith, MD

According to 2025 Medicare claims, Matthew Smith, MD (NPI: 1609876507) practices family practice in the Waterloo-Cedar Falls, IA market, with the plurality of this provider's patient population coming from Black Hawk, IA. This provider's primary affiliated billing organization is MATTHEW SMITH MD PC (NPI: 1154072379; TIN: 874022725) and primary practice location at 50701-4521. Smith is affiliated with the UnityPoint Accountable Care, L.C. (ACO ID: A5170), Aledade 155 National MSSP (ACO ID: A5358), Main Street Rural Health Willow ACO LLC (ACO ID: A5404), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Smith's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 389 traditional Medicare patients, billed 2,747 HCPCS/CPT codes, and received $187,985 in Medicare payments. The top billing code was 90677 (Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use). Part D data shows 10,211 prescription claims across 739 beneficiaries totaling $666,131 in drug costs, led by Eliquis (Apixaban). DME data shows 428 claims. Open Payments data shows 227 records totaling $4,289. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have risen steadily, from $401,871 to $666,131. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $16,156 and ending at $15,823.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	325	2,886	$139,291
2016	281	1,869	$81,794
2017	385	1,927	$100,600
2018	416	2,251	$115,825
2019	411	2,216	$110,342
2020	441	2,230	$118,253
2021	416	2,016	$122,724
2022	397	2,070	$117,559
2023	363	1,766	$106,751
2024	389	2,747	$187,985

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	320	5,791	$401,871
2016	357	6,292	$454,502
2017	539	7,118	$430,484
2018	595	7,848	$459,556
2019	637	9,933	$555,688
2020	653	11,053	$691,236
2021	675	10,163	$683,167
2022	705	9,812	$660,137
2023	708	9,348	$694,812
2024	739	10,211	$666,131

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	35	257	$17,482
2016	20	274	$14,120
2017	76	381	$16,235
2018	133	527	$16,300
2019	115	504	$17,068
2020	108	500	$30,172
2021	78	319	$16,039
2022	87	414	$31,765
2023	89	460	$37,821
2024	63	428	$22,926

* / # = 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
90677	Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	240	240	$291
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	251	251	$120
G0009	Administration of pneumococcal vaccine	239	239	$30
G0444	Annual depression screening, 5 to 15 minutes	244	244	$17
G2211	Visit 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's	271	520	$10

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	84	5,210	$99,639
Jardiance	Empagliflozin	48	3,672	$69,224
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	39	2,550	$54,063
Xarelto	Rivaroxaban	30	2,494	$44,995
Farxiga	Dapagliflozin Propanediol	33	2,316	$39,989

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
J7677	Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram	N	N/R	12	$9,127
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	24	$2,180
A7030	Full face mask used with positive airway pressure device, each	N	N/R	17	$1,349
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)	Y	N/R	17	$1,303
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	N/R	22	$1,200

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	227	$4,289	PFIZER 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 Matthew J. Smith, MD?

Tedicare shows public-source Medicare data for Matthew J. Smith, MD (NPI 1609876507), 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 Matthew J. Smith, MD have ACO affiliation data?

Matthew J. Smith, MD is shown with ACO affiliation data for UnityPoint Accountable Care, L.C. (MSSP, ACO ID A5170), Aledade 155 National MSSP (MSSP, ACO ID A5358), Main Street Rural Health Willow ACO LLC (MSSP, ACO ID A5404), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Matthew J. Smith, MD?

Matthew J. Smith, MD is linked to MATTHEW SMITH MD PC (billing NPI 1154072379) in the available physician profile data.

Does Matthew J. Smith, MD have Open Payments data?

Matthew J. Smith, MD has 227 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.