Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SMART PHYSICIAN SYSTEMS PC

NPI: 1023550183 · MICHIGAN CITY, IN 46360 · Internal Medicine Physician · NPI assigned 11/07/2016

$6.32M
Total Medicaid Paid
122,541
Total Claims
77,780
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMAJID, SYED (AUTHORIZED OFFICIAL)
NPI Enumeration Date11/07/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,056 $101K
2019 10,440 $645K
2020 21,054 $728K
2021 23,702 $1.12M
2022 21,738 $1.36M
2023 20,995 $1.26M
2024 17,556 $1.11M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 34,404 20,956 $1.90M
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 17,502 11,644 $1.49M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24,912 16,167 $1.43M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,821 7,642 $474K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,561 4,206 $398K
80348 4,836 2,878 $128K
80362 4,838 2,877 $127K
80354 4,516 2,681 $120K
80365 3,972 2,393 $105K
80373 2,128 1,349 $51K
80361 1,542 1,016 $30K
80305 4,030 2,084 $26K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 107 95 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 195 147 $9K
99407 759 584 $8K
90837 Psychotherapy, 53 minutes with patient 51 42 $5K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 33 32 $4K
80372 383 166 $2K
36415 Collection of venous blood by venipuncture 185 163 $1K
20553 45 27 $772.49
80347 88 81 $649.80
80358 83 76 $556.20
80353 84 74 $522.00
80324 92 85 $522.00
96160 205 174 $364.50
96127 91 77 $324.50
81025 17 12 $111.93
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 12 $75.03
99401 18 15 $36.22
99000 27 25 $11.58