Medicaid Provider Spending

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

SMITH, MICHAEL

NPI: 1215043971 · MATTOON, IL 61938 · Otolaryngology Physician · NPI assigned 08/22/2006

$164K
Total Medicaid Paid
3,569
Total Claims
3,343
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 524 $21K
2019 766 $31K
2020 364 $12K
2021 267 $12K
2022 710 $36K
2023 681 $34K
2024 257 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99243 663 632 $49K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,323 1,227 $39K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 351 286 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 773 754 $17K
95806 243 240 $12K
95811 93 87 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 86 80 $3K
42820 Tonsillectomy and adenoidectomy; younger than age 12 13 13 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $819.95
95810 Polysomnography; sleep staging with 4 or more additional parameters 12 12 $611.02