Dr. Paul Smith, ANP
What this data tells you about Dr. Smith
Dr. Paul Smith is a nurse practitioner - family in New Boston, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Smith performed 10,402 Medicare services across 6,790 unique beneficiaries.
Between the years covered by Open Payments, Dr. Smith received a total of $63 from 3 pharmaceutical and/or device companies across 4 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nurse practitioner - family. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. 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. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
Medicare Practice Summary
Medicare Utilization ↗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 |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 1,085 | $18 | $25 |
| Office visit, established patient (20-29 min) | 777 | $45 | $175 |
| Blood draw (venipuncture) | 701 | $8 | $20 |
| Urinalysis with microscopic exam | 697 | $3 | $28 |
| Comprehensive metabolic blood panel | 634 | $10 | $105 |
| Complete blood count (CBC) with differential | 597 | $8 | $48 |
| Thyroid stimulating hormone (TSH) test | 546 | $16 | $86 |
| Office visit, established patient (30-39 min) | 543 | $61 | $245 |
| Lipid panel (cholesterol and triglycerides) | 529 | $13 | $90 |
| Thyroxine (thyroid chemical), total | 525 | $7 | $40 |
| Hemoglobin A1c test (diabetes monitoring) | 513 | $10 | $61 |
| Urine microalbumin test (kidney screening) | 482 | $6 | $59 |
| Creatine kinase (cardiac enzyme) level, total | 421 | $6 | $29 |
| Vitamin D level test | 417 | $29 | $250 |
| Annual wellness visit, follow-up | 326 | $106 | $220 |
| Urine culture, bacterial identification | 227 | $8 | $42 |
| Vitamin B-12 level test | 178 | $15 | $70 |
| Bacterial culture, aerobic | 116 | $8 | $40 |
| Antibiotic sensitivity test | 115 | $8 | $58 |
| Iron level test | 112 | $6 | $39 |
| Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 101 | $51 | $100 |
| Flu vaccine administration | 78 | $30 | $35 |
| Flu vaccine, high-dose | 77 | $72 | $75 |
| Prostate cancer screening; prostate specific antigen test (psa) | 71 | $19 | $79 |
| Drug injection, under skin or into muscle | 63 | $8 | $42 |
| Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 52 | $23 | $110 |
| Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow | 48 | $64 | $200 |
| PSA test (prostate cancer screening) | 47 | $18 | $79 |
| Uric acid level test | 47 | $4 | $24 |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 44 | $30 | $155 |
| Natriuretic peptide (heart and blood vessel protein) level | 42 | $38 | $171 |
| Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 40 | $137 | $325 |
| Testosterone (hormone) level, total | 20 | $25 | $105 |
| Troponin (protein) analysis, quantitative | 18 | $12 | $128 |
| Sed rate test (inflammation marker) | 18 | $3 | $26 |
| Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 16 | $50 | $100 |
| Magnesium level test | 15 | $7 | $37 |
| C-reactive protein test (inflammation marker) | 15 | $5 | $23 |
| Routine electrocardiogram (ecg) using at least 12 leads with tracing | 13 | $4 | $38 |
| Transitional care management services for problem of high complexity | 13 | $182 | $395 |
| Transitional care management services for problem of at least moderate complexity | 12 | $135 | $280 |
| Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 11 | $137 | $190 |
Industry Payment Transparency
Open Payments through 2023 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2023)
Associated products mentioned in payments ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
17.7 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2023 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Smith is a mixed practice specialist, with above-average Medicare volume (top 1% in TX), with low-engagement industry engagement, with 20 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Smith experienced with denosumab injection (prolia/xgeva)?
Does Dr. Smith receive payments from pharmaceutical companies?
How do Dr. Smith's costs compare to other family nurse practitioners in New Boston?
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Explore related providers
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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. The Transparency Score measures 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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