Active NPI 1447557160 Individual Practitioner Female Practitioner

Michele Carbonell-Smith , APRN

Nurse Practitioner • Paducah, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michele Carbonell-Smith, APRN is a certified Nurse Practitioner practicing in Paducah, KY. With approximately 16 years of clinical experience since completing medical education in 2010, Michele Carbonell-Smith delivers high-quality medical care to the local community at 1920 BROADWAY ST.

Michele Carbonell-Smith is affiliated with Baptist Health Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, test to measure expiratory airflow and volume. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1920 Broadway St

Paducah, KY 420017106

Telephone 2704423647

Fax 2704423777

Associated Practice Facility / Clinic

🏢 Respiratory Disease Clinic Facility NPI 1689786279

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Paducah, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +6.8 yrs vs City Avg

City Avg: 9.2 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

46 Specialists

Practicing in Paducah, KY (1865 Statewide)

Telehealth Adoption Rate

6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carbonell-Smith (16 Years) 16 Yrs

Paducah Specialty Average (9.2 Years) 9.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	1,240	13	$1.00	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	276	163	$243.00	$102.38
94010 Test to measure expiratory airflow and volume	81	77	$74.00	$20.55
99213 Established patient office or other outpatient visit, typically 15 minutes	66	63	$172.00	$73.92
94375 Diagnostic testing in a pulmonary function lab	38	37	$79.00	$30.21
94729 Test to examine how well the lungs exchange gases	26	25	$106.00	$42.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	14	$40.00	$11.57
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	18	18	$31.00	$13.69
94664 Evaluation of use of breathing device	18	17	$31.00	$13.76
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	12	12	$530.00	$289.02
G0009 Administration of pneumococcal vaccine	12	12	$56.00	$29.60
G0008 Administration of influenza virus vaccine	12	12	$61.00	$29.45
90662 Influenza vaccine split virus, preservative free	12	12	$167.00	$81.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	113	$243.00	$100.65
99213 Established patient office or other outpatient visit, typically 15 minutes	111	101	$172.00	$71.83
94010 Test to measure expiratory airflow and volume	63	63	$74.00	$20.02
94375 Diagnostic testing in a pulmonary function lab	35	33	$79.00	$29.87
94664 Evaluation of use of breathing device	29	26	$31.00	$12.86
J1030 Injection, methylprednisolone acetate, 40 mg	24	12	$15.00	$7.74
94729 Test to examine how well the lungs exchange gases	23	23	$106.00	$41.66
G0008 Administration of influenza virus vaccine	16	15	$57.75	$28.60
90662 Influenza vaccine split virus, preservative free	15	14	$146.07	$71.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$318.00	$133.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	12	$40.00	$11.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	194	136	$211.30	$101.93
99213 Established patient office or other outpatient visit, typically 15 minutes	126	112	$151.44	$71.24
94010 Test to measure expiratory airflow and volume	84	84	$73.30	$20.73
94664 Evaluation of use of breathing device	27	25	$31.00	$12.82
G0009 Administration of pneumococcal vaccine	27	27	$44.67	$26.10
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	26	26	$490.62	$258.26
G0008 Administration of influenza virus vaccine	18	18	$56.00	$25.55
90662 Influenza vaccine split virus, preservative free	17	17	$140.00	$64.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	281	183	$202.00	$102.20
99213 Established patient office or other outpatient visit, typically 15 minutes	86	81	$137.00	$72.79
94010 Test to measure expiratory airflow and volume	46	46	$73.00	$21.94
94664 Evaluation of use of breathing device	36	33	$31.00	$12.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$310.00	$125.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	295	227	$202.00	$86.62
99213 Established patient office or other outpatient visit, typically 15 minutes	79	78	$137.00	$59.73
99442 Telephone medical discussion with physician, 11-20 minutes	39	37	$142.00	$59.84
94010 Test to measure expiratory airflow and volume	38	38	$62.05	$25.50
G0008 Administration of influenza virus vaccine	37	37	$38.00	$15.61
99441 Telephone medical discussion with physician, 5-10 minutes	29	26	$85.00	$35.95
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	27	27	$122.00	$61.00
94664 Evaluation of use of breathing device	21	19	$31.00	$12.55
94729 Test to examine how well the lungs exchange gases	16	15	$120.00	$42.73
94727 Determination of lung volumes using gas dilution or washout	16	15	$81.00	$33.48
J1040 Injection, methylprednisolone acetate, 80 mg	15	14	$26.00	$11.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	14	$38.80	$11.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$310.00	$132.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	434	281	$202.00	$86.27
94010 Test to measure expiratory airflow and volume	196	187	$66.00	$26.92
99213 Established patient office or other outpatient visit, typically 15 minutes	119	115	$137.00	$58.24
94729 Test to examine how well the lungs exchange gases	85	85	$120.00	$41.73
94727 Determination of lung volumes using gas dilution or washout	70	70	$81.00	$33.23
94664 Evaluation of use of breathing device	50	48	$31.00	$12.74
J1040 Injection, methylprednisolone acetate, 80 mg	40	33	$26.00	$12.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	33	$38.00	$13.09
G0008 Administration of influenza virus vaccine	33	33	$38.00	$15.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$310.00	$123.79
90653 Vaccine for influenza for injection into muscle	26	26	$119.00	$58.34
36415 Insertion of needle into vein for collection of blood sample	17	16	$13.00	$2.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	422	280	$146.06	$84.68
94375 Diagnostic testing in a pulmonary function lab	132	132	$54.86	$29.99
99213 Established patient office or other outpatient visit, typically 15 minutes	125	122	$102.99	$57.32
94729 Test to examine how well the lungs exchange gases	57	57	$91.75	$41.76
94010 Test to measure expiratory airflow and volume	54	54	$69.54	$27.11
94727 Determination of lung volumes using gas dilution or washout	41	41	$83.54	$34.06
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	35	35	$33.14	$21.61
G0008 Administration of influenza virus vaccine	34	34	$28.06	$17.12
J1040 Injection, methylprednisolone acetate, 80 mg	23	22	$40.70	$11.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	22	$26.57	$14.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$154.00	$85.68
36415 Insertion of needle into vein for collection of blood sample	14	14	$17.79	$2.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	12	$91.62	$59.42
94664 Evaluation of use of breathing device	11	11	$28.82	$12.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	496	319	$126.00	$82.75
94375 Diagnostic testing in a pulmonary function lab	115	114	$53.00	$29.55
99213 Established patient office or other outpatient visit, typically 15 minutes	66	64	$89.00	$56.56
94729 Test to examine how well the lungs exchange gases	50	50	$75.00	$40.36
94727 Determination of lung volumes using gas dilution or washout	42	42	$83.00	$31.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	29	$22.00	$19.14
J1040 Injection, methylprednisolone acetate, 80 mg	31	28	$41.00	$11.04
94010 Test to measure expiratory airflow and volume	30	30	$77.00	$26.65
G0008 Administration of influenza virus vaccine	29	29	$23.00	$21.83
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	29	29	$27.00	$22.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$148.00	$83.70
94060 Test to measure expiratory airflow and volume changes before and after medication administration	11	11	$89.00	$45.34

Medical Specialties & State Licenses

CMS Verified: 2020-12-08

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 3006843

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License KY 3006843

Definition to come...

Hospital & Practice Group Affiliations

Baptist Health Medical Group Inc

2603 Kentucky Ave, Paducah, KY 420033829

Phone: 2704154800

Baptist Health Medical Group Inc

546 Lone Oak Rd, Paducah, KY 420034526

Phone: 2704423647

Baptist Health Medical Group Inc

548 Lone Oak Rd, Paducah, KY 420034538

Phone: 2704154645