Smith, Michael

Smith, Michael was paid $164K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99243, — 30% of everything it billed.

33Billing provider infoSMITH, MICHAEL
MATTOON, IL 61938

33aNPI1215043971assigned 08/22/2006

33bProvider typeOtolaryngology Physician

28Total paid$164K

24GClaims3,569

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Otolaryngology Physician providers in Illinois

Rank by total paid#36 of 221

Median peer was paid$21K

This provider vs. median7.9×

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	524	$21K
2019	766	$31K
2020	364	$12K
2021	267	$12K
2022	710	$36K
2023	681	$34K
2024incomplete	257	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99243		30%	663	632	$49K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24%	1,323	1,227	$39K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	22%	351	286	$37K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	10%	773	754	$17K
95806		7.2%	243	240	$12K
95811		2.9%	93	87	$5K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.6%	86	80	$3K
42820	Tonsillectomy and adenoidectomy; younger than age 12	1.2%	13	13	$2K
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	<1%	12	12	$819.95
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	12	12	$611.02

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.