Smith, Michael

Smith, Michael was paid $15K by Medicaid between May 2018 and Jan 2023, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoSMITH, MICHAEL
BOURNE, MA 02532

33aNPI1306830484assigned 09/06/2005

33bProvider typeFamily Medicine Physician

28Total paid$15K

24GClaims98

24DCodes billed2

24AFirst – last monthMay 2018 – Jan 2023

Compared with peers

Next to other Family Medicine Physician providers in Massachusetts

Rank by total paid#338 of 744

Median peer was paid$10K

This provider vs. median1.5×

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	48	$7K
2019	12	$790.20
2021	13	$1K
2022	13	$3K
2023	12	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	57%	73	70	$9K
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	43%	25	25	$7K

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.