Medicaid Provider Spending

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

CARL E. SMITH, M.D., F.A.A.P., PLLC

NPI: 1053427286 · HARLAN, KY 40831 · Specialist · NPI assigned 08/21/2006

$640K
Total Medicaid Paid
16,675
Total Claims
12,448
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, CARL (OWNER)
NPI Enumeration Date08/21/2006

Related Entities

Other providers sharing the same authorized official: SMITH, CARL

ProviderCityStateTotal Paid
THE BOOTHWYN FIRE COMPANY NO 1 UPPER CHICHESTER PA $355K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,152 $115K
2019 2,648 $94K
2020 1,735 $70K
2021 1,884 $82K
2022 2,629 $99K
2023 2,509 $94K
2024 2,118 $86K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,908 6,813 $438K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 895 841 $55K
99215 Prolong outpt/office vis 565 501 $49K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 545 480 $23K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,188 547 $19K
90460 Immunization administration through 18 years of age via any route, first or only component 701 609 $18K
99354 150 117 $9K
87430 450 403 $7K
87807 471 425 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 75 74 $5K
69210 186 165 $4K
94664 274 253 $3K
80061 Lipid panel 108 104 $2K
80305 92 92 $1K
92551 68 67 $805.97
83036 Hemoglobin; glycosylated (A1C) 42 39 $409.58
36416 393 373 $409.32
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $386.91
92552 17 15 $210.37
85018 324 313 $210.35
83655 17 13 $180.21
90688 65 65 $96.38
82962 26 26 $85.23
90672 103 101 $0.00