Physician
Sma Healthcare, INC
Sma Healthcare, INC was paid $43K by Medicaid between Dec 2021 and Dec 2024, across 9 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 38% of everything it billed.
33Billing provider infoSMA HEALTHCARE, INC
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
33aNPI1255950168assigned 04/10/2020
33bProvider typeGeneral Practice Physician
28Total paid$43K
24GClaims1,482
24DCodes billed9
24AFirst – last monthDec 2021 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Florida
Rank by total paid#170 of 420
Median peer was paid$23K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2021 | 14 | $450.20 | |
| 2022 | 84 | $2K | |
| 2023 | 226 | $10K | |
| 2024incomplete | 1,158 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 38% | 602 | 386 | $16K |
| 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 | 36% | 427 | 395 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 157 | 137 | $5K |
| 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 | 7.2% | 38 | 37 | $3K |
| H0032 | Mental health service plan development by non-physician | 4.2% | 35 | 34 | $2K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 1.5% | 85 | 69 | $655.85 |
| 99406 | 1.3% | 96 | 87 | $545.15 | |
| H0031 | Mental health assessment, by non-physician | <1% | 22 | 22 | $358.00 |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 0% | 20 | 17 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialBUNN, KEVIN (CONTRACTING MANAGER)
Parent organizationSMA HEALTHCARE, INC
| Provider | Location | Paid |
|---|---|---|
| Sma Healthcare INC | Daytona Beach, FL | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.