Dr. Stephen Smith , PA-C
High MarkupHigher Out-of-Pocket Billing Risk
This practice submits charges that average 7.1 times customary allowable rates. If you have not met your annual health insurance deductible, or if this doctor is out-of-network with your health plan, you may face significant balance billing.
- Confirm network status: Call your insurer to confirm this specific physician and office address are in-network.
- Request in-network labs: Before blood draws or biopsies, ask the nurse to send samples exclusively to an in-network commercial laboratory.
- Ask for a written estimate: Under the No Surprises Act, you are legally entitled to a Good Faith Estimate if you are self-pay or out-of-network.
Balanced Practice
Maintains a steady clinical rhythm balancing focused physical examination with patient discussion.
How is appointment length calculated?
Visit durations reflect official documentation standards for Evaluation and Management (E/M) office billing codes (CPT 99202 through 99215).
Physicians who bill higher-level comprehensive visits (such as 99214 and 99215) consistently spend 30 to 45 minutes reviewing complex records and discussing care plans, whereas routine refill clinics predominantly bill briefer level 2 and 3 codes.
Appointment Length & Visit Style
Clinical appointment coding analysis across standard patient evaluations
Dr. Smith maintains a focused, rapid visit cadence suited for straightforward checkups and procedural follow-ups.
Pricing Transparency & Fee Comparison
How this provider bills compared to standard insurance benchmarks
⚠️ Price Outlier Warning: Dr. Smith's submitted charges are significantly higher than peer medians (over 7.07x the baseline standard). If you receive treatment out-of-network or without insurance, you could face substantial bills. Confirm in-network participation with your health plan prior to booking.
Verified Clinical Procedures & Surgical Focus
Official annual procedure volumes, customary fee comparisons, and clinical focus areas.
| Clinical Procedure & Code | Annual Services | Doctor Charge | Peer Norm | Standard Baseline | vs. Peer Norm |
|---|---|---|---|---|---|
HCPCS J7328 | 18,816 | $6.00 | $4.16 | $0.84 | 1.44x |
HCPCS J3301 | 1,052 | $4.00 | $6.00 | $1.07 | 0.67x |
CPT 20610 | 486 | $221.98 | $221.85 | $61.76 | 1x |
HCPCS J7323 | 205 | $290.00 | $361.67 | $126.31 | 0.8x |
CPT 99213 | 165 | $175.00 | $168.44 | $72.27 | 1.04x |
CPT 99212 | 99 | $107.00 | $104.00 | $45.46 | 1.03x |
CPT 73562 | 91 | $94.87 | $79.00 | $31.03 | 1.2x |
CPT 27447 | 70 | $4175.20 | $4196.91 | $164.96 | 0.99x |
Other Physician Assistant Doctors in North Carolina
Explore peer practitioners in the same state
👨⚕️ Physician & Medical Billing Intelligence (Click to view professional coding data)Expand ↓
This section provides clinical practice analytics for healthcare administrators, billing coders, and peer physicians evaluating practice benchmarks:
Estimated appointment time calculation: 22 minutes. Indicates the proportion of high-complexity (99205/99215) vs. moderate-complexity (99204/99214) documentation relative to national specialty peers.
Gross charge multiplier: 7.07x. Useful for fee schedule alignment, out-of-network charge master analysis, and payer contract negotiations.
Patient Guidance: What to Ask Before Your Appointment
- In-Network Confirmation: Confirm directly with your insurance plan that Dr. Smith participates in your specific network tier.
- Surgical Facility Fees: If having surgery, verify whether it will be in a hospital or an outpatient surgery center. Facility charges are billed separately from physician fees.
- Written Estimates: If you are paying out of pocket or have a high deductible, request a written good-faith estimate before major treatments.