Total Payments
$36,445
2024 Payments
$1,979
Companies
41
Transactions
477
Medicare Patients
8,690
Medicare Billing
$1.5M
Payment Breakdown by Category
Consulting$19,540 (53.6%)
Food & Beverage$11,373 (31.2%)
Travel$2,878 (7.9%)
Other$2,500 (6.9%)
Education$154.03 (0.4%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Consulting Fee | $19,540 | 8 | 53.6% |
| Food and Beverage | $11,373 | 424 | 31.2% |
| Travel and Lodging | $2,878 | 11 | 7.9% |
| Honoraria | $2,500 | 1 | 6.9% |
| Education | $154.03 | 33 | 0.4% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| CHF Solutions, Inc | $25,805 | 34 | $0 (2020) |
| Nuwellis, Inc. | $2,782 | 6 | $0 (2023) |
| Otsuka America Pharmaceutical, Inc. | $1,229 | 59 | $0 (2024) |
| AstraZeneca Pharmaceuticals LP | $770.82 | 39 | $0 (2024) |
| Fresenius USA Marketing, Inc. | $744.66 | 36 | $0 (2024) |
| Amgen Inc. | $699.54 | 27 | $0 (2024) |
| Relypsa, Inc. | $657.57 | 47 | $0 (2020) |
| OPKO Pharmaceuticals, LLC | $613.15 | 75 | $0 (2024) |
| Vifor Pharma, Inc. | $455.05 | 25 | $0 (2024) |
| CALLIDITAS THERAPEUTICS US INC. | $366.91 | 13 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $1,979 | 94 | CALLIDITAS THERAPEUTICS US INC. ($316.08) |
| 2023 | $1,273 | 57 | Nuwellis, Inc. ($222.00) |
| 2022 | $721.33 | 36 | Fresenius USA Marketing, Inc. ($197.74) |
| 2021 | $3,269 | 63 | Nuwellis, Inc. ($2,560) |
| 2020 | $2,991 | 29 | CHF Solutions, Inc ($2,597) |
| 2019 | $7,600 | 62 | CHF Solutions, Inc ($6,478) |
| 2018 | $13,840 | 67 | CHF Solutions, Inc ($13,036) |
| 2017 | $4,773 | 69 | CHF Solutions, Inc ($3,694) |
All Payment Transactions
477 individual payment records from CMS Open Payments — Page 1 of 20
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/18/2024 | CALLIDITAS THERAPEUTICS US INC. | TARPEYO (Drug) | Food and Beverage | In-kind items and services | $17.98 | General |
| Category: Nephrology | ||||||
| 12/17/2024 | Cycle Pharmaceuticals Inc | Tiopronin (Drug) | Food and Beverage | In-kind items and services | $13.24 | General |
| Category: UROLOGY | ||||||
| 12/11/2024 | Ardelyx, Inc. | IBSRELA (Drug) | Food and Beverage | In-kind items and services | $26.68 | General |
| Category: GASTROENTEROLOGY | ||||||
| 12/09/2024 | Mallinckrodt Hospital Products Inc. | TERLIVAZ (Drug) | Food and Beverage | In-kind items and services | $31.17 | General |
| Category: CRITICAL CARE | ||||||
| 11/26/2024 | CALLIDITAS THERAPEUTICS US INC. | TARPEYO (Drug) | Food and Beverage | In-kind items and services | $22.05 | General |
| Category: Nephrology | ||||||
| 11/19/2024 | OPKO Pharmaceuticals, LLC | RAYALDEE (Drug) | Food and Beverage | In-kind items and services | $19.62 | General |
| Category: NEPHROLOGY | ||||||
| 11/18/2024 | AKEBIA THERAPEUTICS INC | Vafseo (Drug) | Food and Beverage | In-kind items and services | $122.62 | General |
| Category: Nephrology | ||||||
| 11/18/2024 | Fresenius USA Marketing, Inc. | Velphoro (Drug) | Food and Beverage | In-kind items and services | $13.08 | General |
| Category: Phosphate binder for ESRD | ||||||
| 11/07/2024 | CALLIDITAS THERAPEUTICS US INC. | TARPEYO (Drug) | Food and Beverage | In-kind items and services | $121.60 | General |
| Category: Nephrology | ||||||
| 11/05/2024 | Mallinckrodt Hospital Products Inc. | TERLIVAZ (Drug) | Food and Beverage | In-kind items and services | $35.87 | General |
| Category: CRITICAL CARE | ||||||
| 11/04/2024 | Otsuka America Pharmaceutical, Inc. | JYNARQUE (Drug) | Food and Beverage | In-kind items and services | $27.05 | General |
| Category: NEPHROLOGY | ||||||
| 10/31/2024 | OPKO Pharmaceuticals, LLC | RAYALDEE (Drug) | Food and Beverage | In-kind items and services | $16.96 | General |
| Category: NEPHROLOGY | ||||||
| 10/31/2024 | OPKO Pharmaceuticals, LLC | RAYALDEE (Drug) | Education | In-kind items and services | $4.72 | General |
| Category: NEPHROLOGY | ||||||
| 10/31/2024 | OPKO Pharmaceuticals, LLC | RAYALDEE (Drug) | Food and Beverage | In-kind items and services | $0.78 | General |
| Category: NEPHROLOGY | ||||||
| 10/30/2024 | CALLIDITAS THERAPEUTICS US INC. | TARPEYO (Drug) | Food and Beverage | In-kind items and services | $19.32 | General |
| Category: Nephrology | ||||||
| 10/29/2024 | Amgen Inc. | TAVNEOS (Drug) | Food and Beverage | In-kind items and services | $23.29 | General |
| Category: Inflammation | ||||||
| 10/16/2024 | GlaxoSmithKline, LLC. | BENLYSTA (Biological) | Food and Beverage | In-kind items and services | $21.95 | General |
| Category: IMMUNOLOGY | ||||||
| 10/10/2024 | Otsuka America Pharmaceutical, Inc. | JYNARQUE (Drug) | Food and Beverage | In-kind items and services | $26.94 | General |
| Category: NEPHROLOGY | ||||||
| 10/02/2024 | OPKO Pharmaceuticals, LLC | RAYALDEE (Drug) | Education | In-kind items and services | $4.72 | General |
| Category: NEPHROLOGY | ||||||
| 09/25/2024 | OPKO Pharmaceuticals, LLC | RAYALDEE (Drug) | Education | In-kind items and services | $4.72 | General |
| Category: NEPHROLOGY | ||||||
| 09/18/2024 | CALLIDITAS THERAPEUTICS US INC. | TARPEYO (Drug) | Food and Beverage | In-kind items and services | $18.64 | General |
| Category: Nephrology | ||||||
| 09/16/2024 | ANI Pharmaceuticals, Inc. | PURIFIED CORTROPHIN GEL (Drug) | Food and Beverage | In-kind items and services | $23.97 | General |
| Category: Treatment of certain chronic autoimmune disorders including acute exacerbations of MS and RA | ||||||
| 09/05/2024 | AstraZeneca Pharmaceuticals LP | LOKELMA (Drug) | Food and Beverage | In-kind items and services | $18.82 | General |
| Category: Cardiovascular and Metabolism | ||||||
| 09/04/2024 | Amgen Inc. | KRYSTEXXA (Biological) | Food and Beverage | In-kind items and services | $20.23 | General |
| Category: Inflammation/Rare Disease | ||||||
| 08/13/2024 | CALLIDITAS THERAPEUTICS US INC. | TARPEYO (Drug) | Food and Beverage | In-kind items and services | $27.10 | General |
| Category: Nephrology | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 15 | 1,747 | 3,265 | $555,624 | $283,570 |
| 2022 | 16 | 1,990 | 3,779 | $632,649 | $325,531 |
| 2021 | 16 | 2,284 | 4,511 | $787,176 | $426,149 |
| 2020 | 16 | 2,669 | 5,507 | $1.0M | $493,955 |
Total Patients
8,690
Total Services
17,062
Medicare Billing
$1.5M
Procedure Codes
68
All Medicare Procedures & Services
68 procedure records from CMS Medicare Utilization — Page 1 of 3
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | Office | 2023 | 144 | 264 | $132,000 | $68,497 | 51.9% |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 265 | 982 | $98,200 | $57,354 | 58.4% |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Facility | 2023 | 132 | 330 | $42,900 | $29,345 | 68.4% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 338 | 404 | $52,520 | $24,492 | 46.6% |
| 90935 | Hemodialysis procedure with physician evaluation | Facility | 2023 | 76 | 331 | $57,925 | $17,655 | 30.5% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 337 | 360 | $34,200 | $16,634 | 48.6% |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | Office | 2023 | 68 | 77 | $38,500 | $16,182 | 42.0% |
| 90966 | Home dialysis services per month (20 years or older) | Office | 2023 | 33 | 63 | $31,500 | $13,652 | 43.3% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 97 | 99 | $19,800 | $12,720 | 64.2% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 73 | 73 | $12,775 | $8,315 | 65.1% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 64 | 68 | $9,316 | $6,556 | 70.4% |
| 90945 | Dialysis procedure including 1 evaluation | Facility | 2023 | 19 | 69 | $11,730 | $4,282 | 36.5% |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | Facility | 2023 | 56 | 94 | $7,050 | $3,458 | 49.0% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2023 | 15 | 17 | $3,060 | $1,984 | 64.8% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2023 | 13 | 17 | $2,210 | $1,240 | 56.1% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 17 | 17 | $1,938 | $1,205 | 62.2% |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | Office | 2022 | 189 | 364 | $182,000 | $98,544 | 54.1% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 298 | 1,052 | $105,200 | $56,205 | 53.4% |
| 99233 | Follow-up hospital inpatient care per day, typically 35 minutes | Facility | 2022 | 141 | 402 | $52,260 | $31,317 | 59.9% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 328 | 417 | $48,594 | $25,357 | 52.2% |
| 90966 | Home dialysis services per month (20 years or older) | Office | 2022 | 43 | 95 | $47,500 | $21,412 | 45.1% |
| 90935 | Hemodialysis procedure with physician evaluation | Facility | 2022 | 107 | 321 | $56,175 | $17,804 | 31.7% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 433 | 476 | $35,095 | $17,298 | 49.3% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 105 | 111 | $21,670 | $15,851 | 73.1% |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | Office | 2022 | 51 | 55 | $27,500 | $12,345 | 44.9% |
About James Smelser, M. D
James Smelser, M. D is a Nephrology healthcare provider based in Huntsville, Alabama. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 11/04/2005. The National Provider Identifier (NPI) number assigned to this provider is 1881685089.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, James Smelser, M. D has received a total of $36,445 in payments from pharmaceutical and medical device companies, with $1,979 received in 2024. These payments were reported across 477 transactions from 41 companies. The most common payment nature is "Consulting Fee" ($19,540).
As a Medicare-enrolled provider, Smelser has provided services to 8,690 Medicare beneficiaries, totaling 17,062 services with total Medicare billing of $1.5M. Data is available for 4 years (2020–2023), covering 68 distinct procedure/service records.
Ad
Practice Information
- Specialty Nephrology
- Location Huntsville, AL
- Active Since 11/04/2005
- Last Updated 09/13/2023
- Taxonomy Code 207RN0300X
- Entity Type Individual
- NPI Number 1881685089
Products in Payments
- Aquadex (Device) $25,805
- AQUADEX SMARTFLOW CONSOLE (Device) $2,560
- Veltassa (Drug) $1,082
- JYNARQUE (Drug) $739.42
- Velphoro (Drug) $514.09
- SAMSCA (Drug) $504.84
- Parsabiv (Biological) $441.23
- RAYALDEE (Drug) $394.20
- TARPEYO (Drug) $366.91
- LOKELMA (Drug) $321.46
- FARXIGA (Drug) $253.70
- Aquadex Smartflow Console (Device) $222.00
- Kerendia (Drug) $206.18
- Rayaldee (Drug) $206.18
- INJECTAFER (Drug) $181.94
- BENLYSTA (Biological) $162.31
- Vafseo (Drug) $122.62
- XPHOZAH 30 MG (Drug) $121.19
- ACTHAR (Biological) $119.99
- KORSUVA (Drug) $109.99
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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