Smith, John

Smith, John was paid $70K by Medicaid between Jan 2018 and Mar 2020, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.

33Billing provider infoSMITH, JOHN
FAIRLAWN, NJ 07410

33aNPI1043389869assigned 11/07/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$70K

24GClaims3,648

24DCodes billed9

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Cardiovascular Disease Physician providers in New Jersey

Rank by total paid#70 of 204

Median peer was paid$12K

This provider vs. median5.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,711	$34K
2019	1,716	$32K
2020	221	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	31%	685	629	$22K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	25%	649	602	$18K
93000		21%	1,483	1,361	$14K
99244	Office or other outpatient consultation, moderate to high complexity	12%	86	85	$8K
99401		7.3%	223	205	$5K
99490	Ccm add 20min	1.8%	329	328	$1K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.0%	12	12	$699.76
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	162	149	$371.18
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	<1%	19	19	$330.25

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.