Medicare Enrolled
Dr. Malcolm Smith, MD
Pulmonary Disease · Texarkana, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
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. Malcolm Smith is a pulmonary disease specialist in Texarkana, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Smith performed 4,847 Medicare services across 4,149 unique beneficiaries.
Between the years covered by Open Payments, Dr. Smith received a total of $10,686 from 49 pharmaceutical and/or device companies across 404 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pulmonary disease. 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.
✓ 20 years in practice
▲ Top 5% volume in TX
$10,686 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,847
Medicare services
Top 5% in TX for pulmonary disease
4,149
Unique beneficiaries
$66
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~242 Medicare services per year of practice
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. |
1,578 | $6 | $38 |
| 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. |
348 | $91 | $245 |
| Lung volume test using sensors A test that measures the amount of air in the lungs using sensors. |
314 | $39 | $115 |
| Pulmonary gas exchange test A test to examine how well the lungs exchange gases. |
295 | $41 | $150 |
| Face-to-face visit for durable medical equipment determination A required in-person visit with a healthcare provider to document the medical necessity for durable medical equipment. This visit must be performed by a nurse practitioner, physician assistant, or clinical nurse specialist. |
291 | $6 | $10 |
| 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. |
250 | $60 | $175 |
| Spirometry test before and after medication A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication. |
225 | $28 | $132 |
| Sleep study with continuous airway pressure, age 6+ A sleep study conducted in a sleep lab that monitors breathing and other body functions while administering continuous airway pressure. This test is performed on patients aged 6 years or older. |
225 | $465 | $1,829 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
184 | $15 | $44 |
| Sleep study in sleep lab (age 6+) An overnight test conducted in a sleep laboratory to monitor sleep patterns and bodily functions in patients aged 6 years or older. |
154 | $446 | $1,673 |
| 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. |
140 | $61 | $142 |
| Positive pressure ventilator therapy A therapy procedure that uses a positive pressure ventilator to assist with breathing. |
124 | $45 | $130 |
| Expiratory airflow and volume test A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume. |
105 | $19 | $107 |
| Chest fluid drainage with tube insertion using imaging guidance This procedure removes fluid from the chest cavity and places a tube to stay in place for ongoing drainage. Imaging guidance is used to help position the tube accurately. |
73 | $117 | $1,190 |
| Bronchial irrigation and suction for cell collection This procedure uses an endoscope to flush and suction the lung airways in order to collect cells for testing. |
56 | $25 | $250 |
| 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. |
55 | $10 | $100 |
| Bronchoscopy A procedure to examine the airways inside the lungs using a thin, flexible tube with a camera. |
49 | $0 | $250 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
45 | $8 | $20 |
| Lung biopsy via endoscope, 1 lobe A procedure to remove a small sample of lung tissue from one lobe using an endoscope for examination. |
40 | $76 | $1,090 |
| Oxygen level test using ear or finger device A test that measures the oxygen level in the blood using a device attached to the ear or finger. The measurement is taken multiple times. |
39 | $2 | $79 |
| 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. |
37 | $101 | $255 |
| Endoscopic needle biopsy of windpipe, airway, or lung A procedure where a needle is inserted through an endoscope to collect tissue samples from the windpipe, airway, or lung. |
25 | $138 | $1,345 |
| Critical care, first 30-74 min Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient. |
24 | $166 | $525 |
| Overnight continuous oxygen level test This test measures oxygen levels in the blood continuously overnight using a device attached to the ear or finger. |
23 | $17 | $80 |
| 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. |
23 | $113 | $315 |
| Sleep apnea endoscopy An examination of the upper airway using an endoscope to evaluate sleep-disordered breathing. |
18 | $71 | $215 |
| Computer-assisted navigation of lung airways This procedure uses computer technology to guide an endoscope through the airways of the lungs for precise navigation. |
17 | $68 | $200 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
17 | $135 | $375 |
| Sleep study with heart rate and breathing monitoring A sleep study that monitors heart rate, breathing, airflow, and physical effort during sleep. |
16 | $34 | $135 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
16 | $79 | $215 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
16 | $39 | $88 |
| 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. |
13 | $8 | $48 |
| Thoracic target delineation for radiation therapy This procedure involves mapping and defining the specific areas within the chest that require radiation treatment. It is a planning step to ensure accurate targeting during radiation therapy. |
12 | $160 | $450 |
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. A higher procedure volume generally indicates more experience with that procedure.
0.2% high complexity
3.2% medium
96.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$10,686
Total received (2018-2024)
Avg $1,527/year across 7 years
Top 19% in TX for pulmonary disease
49
Companies
404
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$10,196 (95.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$489 (4.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,409
2023
$4,657
2022
$1,440
2021
$767
2020
$295
2019
$517
2018
$602
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Inspire Medical Systems, Inc.
$1,716
ZOLL Respicardia, Inc.
$1,303
GlaxoSmithKline, LLC.
$1,284
Actelion Pharmaceuticals US, Inc.
$844
United Therapeutics Corporation
$814
Insmed, Inc.
$624
Boehringer Ingelheim Pharmaceuticals, Inc.
$530
AstraZeneca Pharmaceuticals LP
$459
Harmony Biosciences LLC
$292
Amgen Inc.
$184
GENZYME CORPORATION
$183
Astellas Pharma US Inc
$160
Takeda Pharmaceuticals U.S.A., Inc.
$156
Axsome Therapeutics, Inc.
$154
Mallinckrodt Hospital Products Inc.
$151
Inogen, Inc.
$150
HARMONY BIOSCIENCES LLC
$143
Sunovion Pharmaceuticals Inc.
$131
JAZZ PHARMACEUTICALS INC.
$108
Grifols USA, LLC
$105
Vifor Pharma, Inc.
$92
Fresenius USA Marketing, Inc.
$81
Jazz Pharmaceuticals Inc.
$78
Pulmonx Corporation
$78
Regeneron Healthcare Solutions, Inc.
$70
Mylan Specialty L.P.
$67
Genentech USA, Inc.
$66
Baxter Healthcare
$64
Avadel CNS Pharmaceuticals, LLC
$57
Merck Sharp & Dohme Corporation
$53
Pharming Healthcare, Inc.
$52
Philips Electronics North America Corporation
$48
Lilly USA, LLC
$43
INOGEN, INC.
$34
Otsuka America Pharmaceutical, Inc.
$33
IDORSIA PHARMACEUTICALS US INC
$32
Novartis Pharmaceuticals Corporation
$29
Vapotherm Inc
$27
Alnylam Pharmaceuticals Inc.
$25
Fisher & Paykel Healthcare Inc
$22
Janssen Pharmaceuticals, Inc
$22
Paratek Pharmaceuticals, Inc.
$18
Ultragenyx Pharmaceutical Inc.
$17
Medtronic, Inc.
$16
Alexion Pharmaceuticals, Inc.
$16
Advanced Respiratory, Inc
$14
Electromed, Inc.
$14
Allergan Inc.
$13
Harmony Biosciences Llc
$12
Top 3 companies account for 40.3% of total payments
Associated products mentioned in payments ›
(8874) inCourage · ACTHAR · AIRSUPRA · ANORO · ANORO ELLIPTA · AREXVY · ASMANEX · AVYCAZ · Alecensa · Arikayce · BEVESPI AEROSPHERE · BREZTRI · BROVANA · CHARTIS CATHETER · Cresemba · DIFICID · DUPIXENT · Dymista · Enbrel · Esbriet · FASENRA · FISHER & PAYKEL HEALTHCARE · FORTEO · GLASSIA · Hillrom - Life 2000 Ventilation System · Hillrom - Vest System Model 105 Home Care · ILLUMISITE · IMFINZI · INOGEN ONE G5 OXYGEN CONCENTRATOR - BLUETOOTH · INSPIRE · Inspire Upper Airway Stimulation System · JYNARQUE · LONHALA MAGNAIR · LUMRYZ · NUCALA · NUZYRA · OFEV · OPSUMIT · OPSUMIT MACITENTAN · ORENITRAM · OXLUMO · Parsabiv · Perforomist · Precision Flow · Prolastin-C Liquid · QUVIVIQ · SMARTVEST · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · Sleep Therapy Modems · Sunosi · TALTZ · TEZSPIRE · TRELEGY ELLIPTA · TYVASO · Tavneos · The Vest System Model 105 Home Care · UPTRAVI · Ultomiris · Utibron · Velphoro · Veltassa · WAKIX · Wakix · XARELTO · XOLAIR · XYREM · XYWAV · Xolair · Yupelri · remede System
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →
Most payments (95%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $220 per 100 Medicare services performed
Geographic Context
Pulmonary diseases within 10 mi
6
Per 100K population
6.5
County median income
$59,295
Nearest hospital
CHRISTUS ST MICHAEL HEALTH SYSTEM
0.0 mi
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 5% in TX), with low-engagement industry engagement in the top 19% of TX peers, 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 ekg interpretation and report?
Based on Medicare claims data, Dr. Smith performed 1,578 ekg interpretation and report services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Smith receive payments from pharmaceutical companies?
Yes. Dr. Smith received a total of $10,686 from 49 companies across 404 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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 pulmonary diseases in Texarkana?
Dr. Smith's average Medicare payment per service is $66. 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
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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