Medicare Enrolled
Dr. Triston Smith, MD
Internal Medicine · Saint Clairsville, OH
Practice pattern: Cardiac & Electrophysiology
— Practice combining cardiac and electrophysiology services
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Smith from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Smith
Dr. Triston Smith is an internal medicine specialist in Saint Clairsville, OH, with 15 years of NPI registration. Based on federal Medicare data, Dr. Smith performed 2,105 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Smith received a total of $65,033 from 45 pharmaceutical and/or device companies across 619 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Smith is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 15 years of NPI registration
▲ Top 10% volume in OH
$65,033 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,105
Medicare services
Top 10% in OH for internal medicine
Not available
Unique patients (not deduplicated)
$48
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
423 | $6 | $28 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
334 | $10 | $62 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
330 | $49 | $173 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
211 | $78 | $210 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
98 | $16 | $49 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
98 | $10 | $44 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
96 | $56 | $210 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
69 | $61 | $136 |
| Cardiac catheterization | 67 | $211 | $683 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
57 | $100 | $231 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
46 | $19 | $45 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
35 | $73 | $184 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
33 | $29 | $90 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
27 | $53 | $115 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
24 | $374 | $945 |
| Pacemaker system evaluation Assessment of a pacemaker device, including single, dual, multiple lead, or leadless systems. |
24 | $42 | $79 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
22 | $27 | $56 |
| Repair of left upper heart chamber with implant A surgical procedure to repair the left upper chamber of the heart using an implanted device, with review by a radiologist. |
20 | $376 | $1,300 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
16 | $16 | $34 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
15 | $135 | $295 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
14 | $26 | $55 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
13 | $52 | $155 |
| Coronary angiography A procedure to insert a tube into a coronary artery to capture diagnostic images of the heart's blood vessels. |
11 | $99 | $525 |
| Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist | 11 | $220 | $850 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
11 | $10 | $20 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
22.9% high complexity
19.6% medium
57.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$65,033
Total received (2018-2024)
Avg $9,290/year across 7 years
Top 2% in OH for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
45
Companies
619
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$6,793
2023
$3,511
2022
$7,377
2021
$17,376
2020
$2,795
2019
$15,353
2018
$11,827
Payments by company (2024)
Abbott Laboratories
$2,224
Edwards Lifesciences Corporation
$1,955
CORDIS US CORP.
$1,113
ABIOMED
$242
Kestra Medical Technology Services, Inc.
$234
Boston Scientific Corporation
$168
Cerus Corporation
$163
ShockWave Medical, Inc
$155
GE HEALTHCARE
$154
Boehringer Ingelheim Pharmaceuticals, Inc.
$113
Recor Medical Inc
$89
Medtronic, Inc.
$51
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$45
Novartis Pharmaceuticals Corporation
$34
AstraZeneca Pharmaceuticals LP
$18
Janssen Pharmaceuticals, Inc
$17
E.R. Squibb & Sons, L.L.C.
$17
Top 3 companies account for 77.9% of 2024 payments
All-time payments by company (2018-2024) ›
Edwards Lifesciences Corporation
$23,532
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$10,152
Abbott Laboratories
$9,539
Cardiovascular Systems Inc.
$5,701
BIOTRONIK INC.
$3,649
BOSTON SCIENTIFIC CORPORATION
$2,593
Boston Scientific Corporation
$1,656
CORDIS US CORP.
$1,141
Actelion Pharmaceuticals US, Inc.
$859
Medtronic Vascular, Inc.
$744
AstraZeneca Pharmaceuticals LP
$552
ABIOMED
$492
Kestra Medical Technology Services, Inc.
$489
Amgen Inc.
$419
Novartis Pharmaceuticals Corporation
$316
PFIZER INC.
$287
E.R. Squibb & Sons, L.L.C.
$282
Janssen Pharmaceuticals, Inc
$251
Siemens Medical Solutions USA, Inc.
$217
Medtronic, Inc.
$205
Cerus Corporation
$163
ShockWave Medical, Inc
$155
GE HEALTHCARE
$154
Impulse Dynamics (USA) Inc.
$152
Boehringer Ingelheim Pharmaceuticals, Inc.
$137
EKOS Corporation
$134
IMPULSE DYNAMICS (USA) INC.
$132
Merck Sharp & Dohme Corporation
$118
Regeneron Healthcare Solutions, Inc.
$106
SANOFI-AVENTIS U.S. LLC
$100
Osprey Medical Inc
$99
Bayer HealthCare Pharmaceuticals Inc.
$97
Recor Medical Inc
$89
Amarin Pharma Inc.
$79
Alnylam Pharmaceuticals Inc.
$40
Chiesi USA, Inc.
$35
CARDIVA MEDICAL, INC.
$31
PORTOLA PHARMACEUTICALS, INC.
$24
Medicure Pharma Inc.
$24
Getinge USA Sales, LLC
$18
Merck Sharp & Dohme LLC
$18
Terumo Medical Corporation
$15
Kowa Pharmaceuticals America, Inc.
$15
W. L. Gore & Associates, Inc.
$12
Gilead Sciences, Inc.
$11
Top 3 companies account for 66.5% of all-time payments
Associated products mentioned in payments ›
ABSOLUTE PRO · ACCENT · AMPLATZER · AMPLATZER AMULET · AMPLATZER Occluders · ANDEXXA · ARTIS icono biplane · ASSURITY · Adempas · Aggrastat (tirofiban HCl) · Amplia MRI · Angioguard · Asahi Fielder coronary guide wire · Assure WCD · BRILINTA · CAMZYOS · CARDIOFORM Septal Occluder · CARDIOSAVE HYBRID · CARDIVA VASCADE MVP VVCS 6-12F · CHANTIX · COREVALVE EVOLUT R · CardioMEMS HF System · CareLink · Confirm Rx · CoreValve Evolut · Corlanor · Coronary Orbital Atherectomy System · Diamondback Coronary · DyeVert · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · EKOSONIC · ELIQUIS · EMBLEM · ENHERTU · ENSITE · ENTRESTO · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · Edwards SAPIEN XT Transcatheter Heart Valve · FARXIGA · GALLANT · GENERAL BRADY · GENERAL THERAPIES · GENERAL STENTS · GENERAL TACHY · GENERAL THERAPIES · GENERAL - BRADY · GENERAL - THERAPIES · General - Therapies · HeartMate 3 Left Ventricular Dev · INTERCEPT BLOOD SYSTEM FOR PLATELETS · Impella · JARDIANCE · KENGREAL · Kerendia · LEQVIO · LifeVest · Livalo · MITRACLIP · Micra · Mitra Clip system · NAVITOR · Navicross · ONPATTRO · OPSUMIT · OPTIMIZER SMART SYSTEM · OPTIS · Optimizer Smart System · PARADISE RENAL DENERVATION SYSTEM · PCI Optimization · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · PRECISE PRO RX · Peripheral Orbital Atherectomy System · PressureWire FFR · RADIAL 360 · Repatha · SAPIEN 3 Ultra RESILIA · SC2000 · SQ RX PULSE GENERATOR · Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave C2+ Coronary · TYPE B PLUG · TurboHawk · UPTRAVI · VERQUVO · Vascepa · Visia AF · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · XARELTO · Xience Sierra Coronary Stent System
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Internal medicine physicians in nearby ZIP areas
49
County median income
$58,411
Nearest hospital to ZIP centroid (approximate)
EAST OHIO REGIONAL HOSPITAL
9.9 mi
9.9 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Smith is a cardiac & electrophysiology specialist, with above-average Medicare volume (top 10% in OH), with 15 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Smith experienced with ekg interpretation and report?
Based on Medicare claims data, Dr. Smith performed 423 ekg interpretation and report services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Smith receive payments from pharmaceutical companies?
Yes. Dr. Smith received a total of $65,033 from 45 companies across 619 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Smith's costs compare to other internal medicine physicians in Saint Clairsville?
Dr. Smith's average Medicare payment per service is $48. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Smith) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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