Medicare Enrolled
Mihaela Smith
Nurse Practitioner - Family · San Antonio, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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 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 →
Are you Smith?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Smith
Mihaela Smith is a nurse practitioner - family in San Antonio, TX, with 10 years of NPI registration. Based on federal Medicare data, Smith performed 2,666 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Smith received a total of $5,748 from 37 pharmaceutical and/or device companies across 106 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 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.
✓ 10 years of NPI registration
▲ Top 5% volume in TX
$5,748 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,666
Medicare services
Top 5% in TX for nurse practitioner - family
Not available
Unique patients (not deduplicated)
$26
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 |
|---|---|---|---|
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
364 | $8 | $20 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
344 | $8 | $36 |
| 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. |
342 | $50 | $250 |
| 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. |
307 | $80 | $368 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
279 | $10 | $64 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
135 | $13 | $60 |
| Iron level test | 135 | $6 | $27 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
135 | $9 | $35 |
| 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. |
68 | $112 | $496 |
| Immunoglobulin level test A blood test that measures the level of gammaglobulins, which are immune system proteins. |
66 | $9 | $56 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
52 | $15 | $76 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
50 | $14 | $73 |
| Lactate dehydrogenase (LDH) level test A blood test that measures the amount of lactate dehydrogenase, an enzyme found in many body tissues. It helps assess tissue damage or disease. |
48 | $6 | $31 |
| Manual white blood cell count A laboratory test that involves examining a sample under a microscope to manually count the number of white blood cells present. |
39 | $4 | $22 |
| Complete blood count (CBC), automated An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood. |
39 | $6 | $34 |
| Reticulated platelet measurement A blood test that measures the level of young, newly formed platelets in the body. |
37 | $35 | $143 |
| Carcinoembryonic antigen (CEA) level test A blood test that measures the level of carcinoembryonic antigen (CEA) protein. This test is used to monitor certain types of cancer. |
36 | $19 | $99 |
| Immunoglobulin light chain measurement A blood test that measures the levels of immunoglobulin light chains, which are proteins produced by plasma cells. |
36 | $17 | $60 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
33 | $16 | $80 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
31 | $4 | $30 |
| PSA test (prostate cancer screening) | 22 | $17 | $94 |
| Haptoglobin level test A blood test that measures the amount of haptoglobin, a protein in the serum. It helps evaluate red blood cell breakdown. |
19 | $12 | $66 |
| Automated red blood cell count with calculations A blood test that automatically counts red blood cells and performs additional calculations to assess blood health. |
18 | $5 | $26 |
| C-reactive protein test (inflammation marker) A blood test that measures the level of C-reactive protein to detect the presence of infection or inflammation in the body. |
16 | $5 | $33 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
15 | $101 | $565 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$5,748
Total received (2021-2024)
Avg $1,437/year across 4 years
Top 4% in TX for nurse practitioner - family
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
37
Companies
106
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
$2,521
2023
$1,681
2022
$1,059
2021
$487
Payments by company (2024)
SOBI, INC
$1,357
Janssen Biotech, Inc.
$177
E.R. Squibb & Sons, L.L.C.
$131
Gilead Sciences, Inc.
$125
Amgen Inc.
$125
Tempus AI, Inc
$124
Daiichi Sankyo Inc.
$114
Blueprint Medicines Corporation
$97
Merck Sharp & Dohme LLC
$70
Bayer Healthcare Pharmaceuticals Inc.
$41
Myriad Genetic Laboratories, Inc.
$38
Stemline Therapeutics Inc.
$35
ABBVIE INC.
$33
Karyopharm Therapeutics Inc.
$19
AstraZeneca Pharmaceuticals LP
$17
Celgene Corporation
$16
Top 3 companies account for 66.0% of 2024 payments
All-time payments by company (2021-2024) ›
SOBI, INC
$1,508
Myriad Genetic Laboratories, Inc.
$580
Janssen Biotech, Inc.
$580
AstraZeneca Pharmaceuticals LP
$465
E.R. Squibb & Sons, L.L.C.
$446
Amgen Inc.
$250
Karyopharm Therapeutics Inc.
$225
Rigel Pharmaceuticals, Inc.
$154
Bayer Healthcare Pharmaceuticals Inc.
$144
Eisai Inc.
$128
Gilead Sciences, Inc.
$125
Tempus AI, Inc
$124
Merck Sharp & Dohme LLC
$122
Daiichi Sankyo Inc.
$114
Blueprint Medicines Corporation
$97
CTI BioPharma Corp.
$97
Lilly USA, LLC
$73
SANOFI-AVENTIS U.S. LLC
$68
Stemline Therapeutics Inc.
$55
GlaxoSmithKline, LLC.
$49
ABBVIE INC.
$33
Celgene Corporation
$30
PFIZER INC.
$29
Genentech USA, Inc.
$28
Sobi, Inc
$28
G1 Therapeutics, Inc.
$20
Regeneron Healthcare Solutions, Inc.
$19
Ipsen Biopharmaceuticals, Inc
$18
GENZYME CORPORATION
$17
ARRAY BIOPHARMA INC
$17
Merck Sharp & Dohme Corporation
$16
Taiho Oncology, Inc.
$16
AMAG Pharmaceuticals, Inc.
$16
Astellas Pharma US Inc
$15
JAZZ PHARMACEUTICALS INC.
$14
EMD Serono, Inc.
$13
Takeda Pharmaceuticals U.S.A., Inc.
$13
Top 3 companies account for 46.4% of all-time payments
Associated products mentioned in payments ›
AYVAKIT · BALVERSA · BLENREP · BRACANALYSIS CDX · BRACAnalysis · BRAFTOVI · Bavencio · CALQUENCE · COLARIS · COSELA · DARZALEX · DOPTELET · Doptelet · ELZONRIS · ENHERTU · ERLEADA · Enhertu · FERAHEME · FRUZAQLA · IBRANCE · IMFINZI · JEVTANA · KEYTRUDA · LIBTAYO · LONSURF · LYNPARZA · Lenvima · MYCHOICE CDX · Nubeqa · OPDIVO · Orserdu · PADCEV · PRECISETUMOR · REBLOZYL · RETEVMO · RYBREVANT · Rezlidhia · SARCLISA · SOMATULINE DEPOT · Stivarga · TAGRISSO · TECENTRIQ · Tavalisse · Trodelvy · VENCLEXTA · VERZENIO · VONJO · Vectibix · Vonjo · XALKORI · XGEVA · XPOVIO · ZEPZELCA · myChoice CDx
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
Family nurse practitioners in nearby ZIP areas
1,551
County median income
$70,571
Nearest hospital to ZIP centroid (approximate)
SAN ANTONIO BEHAVIORAL HEALTHCARE HOSPITAL
0.0 mi
0.0 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
Smith is a clinical cardiology specialist, with above-average Medicare volume (top 5% in TX).
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Smith experienced with blood draw (venipuncture)?
Based on Medicare claims data, Smith performed 364 blood draw (venipuncture) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Smith receive payments from pharmaceutical companies?
Yes. Smith received a total of $5,748 from 37 companies across 106 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 Smith's costs compare to other family nurse practitioners in San Antonio?
Smith's average Medicare payment per service is $26. 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 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 →
Explore related providers
Same specialty & city
Family Nurse Practitioners in San Antonio
Browse family nurse practitioners in San Antonio ranked by procedure volume and transparency data.
Highest volume
Top Family Nurse Practitioners in TX
Family nurse practitioners ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Family Nurse Practitioners in TX
Which TX family nurse practitioners receive the most from drug and device companies.
By company
SOBI, INC Payments to Doctors
See all physicians who received payments from SOBI, INC.
By company
Myriad Genetic Laboratories, Inc. Payments to Doctors
See all physicians who received payments from Myriad Genetic Laboratories, Inc.
By company
Janssen Biotech, Inc. Payments to Doctors
See all physicians who received payments from Janssen Biotech, Inc.
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.
Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology