Dr. Mihaela Smith
What this data tells you about Dr. Smith
Dr. Mihaela Smith is a nurse practitioner - family in San Antonio, TX, with 9 years in practice. Based on federal Medicare data, Dr. Smith performed 2,666 Medicare services across 1,543 unique beneficiaries.
Between the years covered by Open Payments, Dr. Smith received a total of $5,748 from 37 pharmaceutical and/or device companies across 106 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 |
|---|---|---|---|
| Blood draw (venipuncture) | 364 | $8 | $20 |
| Complete blood count (CBC) with differential | 344 | $8 | $36 |
| Office visit, established patient (20-29 min) | 342 | $50 | $250 |
| Office visit, established patient (30-39 min) | 307 | $80 | $368 |
| Comprehensive metabolic blood panel | 279 | $10 | $64 |
| Ferritin level test (iron stores) | 135 | $13 | $60 |
| Iron level test | 135 | $6 | $27 |
| Iron binding capacity test | 135 | $9 | $35 |
| Office visit, established patient, complex (40-54 min) | 68 | $112 | $496 |
| Immunoglobulin level test | 66 | $9 | $56 |
| Vitamin B-12 level test | 52 | $15 | $76 |
| Folic acid level test | 50 | $14 | $73 |
| Lactate dehydrogenase (enzyme) level | 48 | $6 | $31 |
| Microscopic examination for white blood cells with manual cell count | 39 | $4 | $22 |
| Complete blood count (CBC), automated | 39 | $6 | $34 |
| Reticulated (young) platelet measurement | 37 | $35 | $143 |
| Carcinoembryonic antigen (cea) protein level | 36 | $19 | $99 |
| Measurement of immunoglobulin light chains | 36 | $17 | $60 |
| Thyroid stimulating hormone (TSH) test | 33 | $16 | $80 |
| Prothrombin time test (blood clotting) | 31 | $4 | $30 |
| PSA test (prostate cancer screening) | 22 | $17 | $94 |
| Haptoglobin (serum protein) level | 19 | $12 | $66 |
| Red blood count automated, with additional calculations | 18 | $5 | $26 |
| C-reactive protein test (inflammation marker) | 16 | $5 | $33 |
| New patient office visit (45-59 min) | 15 | $101 | $565 |
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 (71%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for nurse practitioner - family in TX.
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 clinical cardiology specialist, with above-average Medicare volume (top 4% in TX), and high industry engagement (low-engagement, top 4%).
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 blood draw (venipuncture)?
Does Dr. Smith receive payments from pharmaceutical companies?
How do Dr. Smith's costs compare to other nurse practitioner - familys in San Antonio?
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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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