Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Brentwood › NPI 1154452795
Physician

Smith, Joshua

Smith, Joshua was paid $216K by Medicaid between Jan 2018 and Apr 2020, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.

33Billing provider infoSMITH, JOSHUA
BRENTWOOD, MO 63144
33aNPI1154452795assigned 03/07/2007
33bProvider typePediatrics Physician
28Total paid$216K
24GClaims5,985
24DCodes billed27
24AFirst – last monthJan 2018 – Apr 2020
Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#175 of 992
Median peer was paid$40K
This provider vs. median5.3×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20183,133$108K
20192,165$83K
2020687$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 1,132 1,082 $42K
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 17% 644 618 $36K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 15% 538 527 $33K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14% 482 470 $30K
92551 14% 976 963 $29K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 371 364 $23K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.3% 116 116 $7K
99188 2.1% 339 327 $5K
90686 1.1% 446 439 $2K
99051 <1% 192 191 $2K
90698 <1% 68 68 $2K
90670 <1% 232 221 $1K
15 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 46 $634.34
83655 <1% 47 $552.50
99173 <1% 62 $450.23
90707 <1% 27 $421.15
90680 <1% 54 $282.48
90685 <1% 42 $210.10
90700 <1% 13 $202.67
99050 <1% 34 $177.29
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 13 $171.86
90716 <1% 28 $145.60
85018 <1% 33 $77.22
90734 <1% 13 $69.55
90713 <1% 13 $67.60
90633 <1% 12 $62.40
90651 <1% 12 $62.40

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.