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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Justin Smith
๐Ÿ“ก
MDIndividual

Justin Smith, M.D.

NPI: 1508019084
Round Rock, TX
10 years of data
Interventional Radiology
$5.5M
Total Payments
7.8K
Beneficiaries
11.9K
Services
4.41x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$5.5M
Specialty median$146.5K

๐Ÿ“‹ Key Findings

1Billed $5.5M over 10 years
24.41x markup ratio (above median)
399th percentile in Interventional Radiology by payments
4Payments surged 774% in 2015
518 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $5.5M in total Medicare payments ranks in the 99th percentile of Interventional Radiology providers nationally.

Medicare payments to this provider grew 1677% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 774% in 2015

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$785.39$138.635.67x$646.76$42.0K502463
2015$932.94$147.736.32x$785.21$367.1K1.1K830
2016$1.1K$282.084.01x$848.97$763.9K2.0K1.5K
2017$965.49$209.364.61x$756.13$598.4K1.7K1.0K
2018$1.8K$378.124.65x$1.4K$749.0K1.6K1.0K
2019$2.2K$479.084.58x$1.7K$422.7K943652
2020$2.0K$495.693.95x$1.5K$541.1K841527
2021$1.9K$487.533.80x$1.4K$595.5K952567
2022$1.9K$432.564.29x$1.4K$641.9K1.0K563
2023$1.7K$387.174.36x$1.3K$746.1K1.2K627

Top Procedures (20)

36475Destruction of insufficient vein of arm or leg, accessed through the skinโš  4.5x markup
$3.2M
2.9K services$1.1K/svc4.55x markup
36466Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidanceโš  4.0x markup
$1.3M
1.1K services$1.2K/svc4.00x markup
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidanceโš  4.2x markup
$309.8K
278 services$1.1K/svc4.22x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuversโš  4.7x markup
$291.7K
2.1K services$138.30/svc4.74x markup
99213Established patient office or other outpatient visit, typically 15 minutesโš  3.5x markup
$92.8K
1.6K services$57.10/svc3.50x markup
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuversโš  5.1x markup
$79.5K
934 services$85.13/svc5.06x markup
99203New patient office or other outpatient visit, typically 30 minutesโš  3.8x markup
$57.5K
744 services$77.35/svc3.81x markup
36471Injection of chemical agent into multiple veins of same legโš  4.6x markup
$27.4K
227 services$120.87/svc4.59x markup
99212Established patient office or other outpatient visit, typically 10 minutesโš  3.6x markup
$24.4K
760 services$32.15/svc3.65x markup
36476Destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skinโš  5.1x markup
$16.4K
74 services$221.95/svc5.09x markup
36870Catheter removal of blood clot from dialysis graft, accessed through the skinโš  5.8x markup
$15.5K
11 services$1.4K/svc5.82x markup
35476Balloon dilation of narrowed or blocked vein, accessed through the skinโš  8.0x markup
$15.2K
17 services$895.31/svc8.01x markup
36147Insertion of needle and/or catheter for dialysisโš  7.5x markup
$13.8K
38 services$362.39/svc7.45x markup
37765Multiple incisions for removal of varicose veins of arm or leg
$13.8K
27 services$510.02/svc2.91x markup
36470Injection of chemical agent into single veinโš  5.4x markup
$13.5K
159 services$85.16/svc5.43x markup
37766Multiple incisions for removal of varicose veins of arm or leg
$12.2K
21 services$579.38/svc2.98x markup
99214Established patient office or other outpatient visit, 30-39 minutesโš  3.1x markup
$5.1K
52 services$97.91/svc3.11x markup
49083Drainage of fluid from abdominal cavity using imaging guidanceโš  5.5x markup
$4.4K
53 services$83.44/svc5.49x markup
10140Drainage of blood or fluid accumulationโš  4.5x markup
$4.3K
41 services$103.92/svc4.45x markup
36556Insertion of central venous catheter for infusion, patient 5 years or olderโš  4.7x markup
$4.1K
42 services$98.00/svc4.68x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
36475Destruction of insufficient vein of arm or leg, accessed through the skin2.9K$3.2M$1.1K4.55x
36466Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance1.1K$1.3M$1.2K4.00x
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance278$309.8K$1.1K4.22x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers2.1K$291.7K$138.304.74x
99213Established patient office or other outpatient visit, typically 15 minutes1.6K$92.8K$57.103.50x
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers934$79.5K$85.135.06x
99203New patient office or other outpatient visit, typically 30 minutes744$57.5K$77.353.81x
36471Injection of chemical agent into multiple veins of same leg227$27.4K$120.874.59x
99212Established patient office or other outpatient visit, typically 10 minutes760$24.4K$32.153.65x
36476Destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin74$16.4K$221.955.09x
36870Catheter removal of blood clot from dialysis graft, accessed through the skin11$15.5K$1.4K5.82x
35476Balloon dilation of narrowed or blocked vein, accessed through the skin17$15.2K$895.318.01x
36147Insertion of needle and/or catheter for dialysis38$13.8K$362.397.45x
37765Multiple incisions for removal of varicose veins of arm or leg27$13.8K$510.022.91x
36470Injection of chemical agent into single vein159$13.5K$85.165.43x
37766Multiple incisions for removal of varicose veins of arm or leg21$12.2K$579.382.98x
99214Established patient office or other outpatient visit, 30-39 minutes52$5.1K$97.913.11x
49083Drainage of fluid from abdominal cavity using imaging guidance53$4.4K$83.445.49x
10140Drainage of blood or fluid accumulation41$4.3K$103.924.45x
36556Insertion of central venous catheter for infusion, patient 5 years or older42$4.1K$98.004.68x

Markup Analysis

Charge-to-Payment Ratio

4.41x

This provider submits charges 4.41 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.41x means for every $100 Medicare pays, this provider initially charges $441. This is higher than the national average.

Location

Round Rock, TX

Provider Verification

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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