Dr. Michael Smith, D.O.
What this data tells you about Dr. Smith
Dr. Michael Smith is a family medicine in Palestine, TX, with 20 years in practice. Based on federal Medicare data, Dr. Smith performed 22,405 Medicare services across 4,081 unique beneficiaries.
Between the years covered by Open Payments, Dr. Smith received a total of $285 from 7 pharmaceutical and/or device companies across 12 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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 |
|---|---|---|---|
| Contrast dye for imaging (iodine-based) | 15,650 | $0 | $2 |
| Injection, gadoteridol, (prohance multipack), per ml | 1,015 | $1 | $10 |
| Blood draw (venipuncture) | 471 | $8 | $21 |
| Office visit, established patient (30-39 min) | 446 | $81 | $289 |
| Comprehensive metabolic blood panel | 387 | $10 | $37 |
| Complete blood count (CBC) with differential | 321 | $8 | $27 |
| Lipid panel (cholesterol and triglycerides) | 310 | $13 | $46 |
| Regadenoson injection (Lexiscan) for heart stress test | 277 | $44 | $201 |
| 3D screening mammography (tomosynthesis) | 228 | $23 | $81 |
| Screening mammography | 228 | $89 | $317 |
| Echocardiogram, transthoracic | 187 | $80 | $687 |
| Thyroid stimulating hormone (TSH) test | 158 | $16 | $59 |
| Electrocardiogram (EKG), 12-lead | 145 | $10 | $54 |
| Hemoglobin A1c test (diabetes monitoring) | 141 | $9 | $34 |
| Office visit, established patient (20-29 min) | 138 | $57 | $204 |
| Bone density scan (DEXA) | 131 | $27 | $95 |
| Anticoagulant management of patient taking warfarin | 119 | $8 | $25 |
| Prothrombin time test (blood clotting) | 114 | $4 | $15 |
| Technetium tc-99m tetrofosmin, diagnostic, per study dose | 111 | $27 | $348 |
| Annual wellness visit, follow-up | 105 | $126 | $295 |
| Office visit, established patient, complex (40-54 min) | 93 | $114 | $406 |
| CT scan of chest, without contrast | 87 | $58 | $326 |
| Nuclear medicine studies of heart muscle at rest and with stress and spect | 82 | $242 | $1,283 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) | 82 | $21 | $121 |
| 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 | 78 | $71 | $235 |
| Urine microalbumin test (kidney screening) | 66 | $6 | $20 |
| Ct scan of abdomen and pelvis before and after contrast | 56 | $188 | $917 |
| Urinalysis with microscopic exam | 55 | $3 | $12 |
| Chest X-ray, 2 views | 53 | $16 | $83 |
| Mri scan of lower spinal canal without contrast | 51 | $90 | $878 |
| Ultrasound study of one arm or leg veins with compression and maneuvers | 47 | $69 | $497 |
| Test to measure expiratory airflow and volume changes before and after medication administration | 46 | $20 | $126 |
| Test to determine lung volumes using sensors | 45 | $31 | $123 |
| Test to examine how well the lungs exchange gases | 45 | $34 | $131 |
| Ct scan of abdomen and pelvis without contrast | 39 | $69 | $380 |
| Ultrasound of both sides of head and neck blood flow | 39 | $104 | $772 |
| Telephone medical discussion with physician, 11-20 minutes | 39 | $69 | $204 |
| Low dose ct scan of chest for lung cancer screening | 37 | $86 | $314 |
| X-ray of lower and sacral spine, 2-3 views | 36 | $18 | $100 |
| Smoking and tobacco use intensive counseling, 4-10 minutes | 35 | $14 | $35 |
| Ultrasound scan of head and neck soft tissue | 33 | $52 | $297 |
| Complete ultrasound scan of abdomen | 33 | $53 | $275 |
| Ct scan of heart with evaluation of blood vessel calcium | 32 | $53 | $251 |
| Mri scan of brain before and after contrast | 31 | $161 | $1,608 |
| CT scan of head/brain, without contrast | 28 | $43 | $252 |
| Mri scan of upper spinal canal without contrast | 28 | $89 | $661 |
| Mri scan of arm joint without contrast | 28 | $98 | $865 |
| Ultrasound study of arm or leg veins with compression and maneuvers | 28 | $106 | $731 |
| Complete ultrasound scan behind abdominal cavity | 26 | $49 | $256 |
| Mri scan of brain without contrast | 25 | $84 | $900 |
| PSA test (prostate cancer screening) | 25 | $18 | $64 |
| Natriuretic peptide (heart and blood vessel protein) level | 24 | $38 | $137 |
| Ct scan of face without contrast | 22 | $66 | $368 |
| 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 | 22 | $39 | $119 |
| Test for exercise-induced lung stress | 21 | $9 | $76 |
| Prostate cancer screening; prostate specific antigen test (psa) | 20 | $19 | $67 |
| Ct scan of chest with contrast | 18 | $74 | $599 |
| Mri scan of leg joint without contrast | 18 | $94 | $877 |
| CT scan of abdomen and pelvis with contrast | 18 | $169 | $813 |
| Uric acid level test | 18 | $4 | $16 |
| Transitional care management services for problem of at least moderate complexity | 18 | $159 | $463 |
| Ultrasound scan of abdominal aorta | 17 | $76 | $279 |
| Routine electrocardiogram (ecg) using at least 12 leads with tracing | 17 | $4 | $35 |
| Hip X-ray, 2-3 views | 15 | $24 | $124 |
| Shoulder X-ray, 2+ views | 13 | $17 | $88 |
| Drug injection, under skin or into muscle | 12 | $8 | $86 |
| Ct scan of blood vessels of neck with contrast | 11 | $89 | $702 |
| X-ray of abdomen, 1 view | 11 | $13 | $77 |
Industry Payment Transparency
Open Payments through 2024 ↗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 (2024)
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
0.0 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 2024 |
| 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 0% in TX), and low-engagement industry engagement, with 20 years of practice experience.
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 contrast dye for imaging (iodine-based)?
Does Dr. Smith receive payments from pharmaceutical companies?
How do Dr. Smith's costs compare to other family medicines in Palestine?
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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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