Smith, Carlenda
Smith, Carlenda was paid $821K by Medicaid between Jan 2018 and Dec 2020, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoSMITH, CARLENDA
NASHVILLE, TN 37232
NASHVILLE, TN 37232
33aNPI1336345131assigned 06/27/2007
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$821K
24GClaims32,689
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Tennessee
Rank by total paid#3 of 74
Median peer was paid$23K
This provider vs. median36×
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 | 10,961 | $243K | |
| 2019 | 12,538 | $328K | |
| 2020 | 9,190 | $250K |
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 | 23% | 3,697 | 3,129 | $187K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 18% | 1,859 | 1,508 | $145K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 2,686 | 2,238 | $99K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 1,037 | 920 | $90K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 1,207 | 997 | $82K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 8.4% | 3,443 | 2,860 | $69K |
| 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 | 4.3% | 475 | 375 | $35K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 292 | 252 | $28K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 1,086 | 965 | $14K |
| 92551 | 1.7% | 1,598 | 1,388 | $14K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 1,019 | 422 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 884 | 671 | $9K |
36 more codes
| 99173 | <1% | 1,476 | $7K | |
| 99177 | <1% | 907 | $5K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 272 | $5K |
| 99381 | <1% | 55 | $3K | |
| 96161 | <1% | 603 | $3K | |
| 96127 | <1% | 441 | $3K | |
| 90651 | <1% | 136 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 719 | $1K |
| 85018 | <1% | 686 | $1K | |
| 90670 | <1% | 1,082 | $1K | |
| 90686 | <1% | 782 | $835.14 | |
| 99174 | <1% | 94 | $652.40 | |
| 69210 | <1% | 27 | $628.47 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 121 | $609.04 |
| 99383 | <1% | 21 | $450.48 | |
| 90620 | <1% | 14 | $403.65 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 16 | $373.11 |
| 90461 | <1% | 1,494 | $315.28 | |
| 90734 | <1% | 95 | $271.00 | |
| 90716 | <1% | 416 | $180.73 | |
| 90633 | <1% | 580 | $163.01 | |
| 90680 | <1% | 529 | $112.50 | |
| 90723 | <1% | 82 | $109.68 | |
| 80061 | Lipid panel | <1% | 15 | $107.37 |
| 36416 | <1% | 65 | $105.42 | |
| 90707 | <1% | 394 | $104.37 | |
| J3490 | Unclassified drugs | <1% | 40 | $29.21 |
| 90688 | <1% | 819 | $14.89 | |
| 90648 | <1% | 190 | $14.70 | |
| 90715 | 0% | 30 | $0.00 | |
| 90685 | 0% | 140 | $0.00 | |
| 90700 | 0% | 156 | $0.00 | |
| 99051 | 0% | 14 | $0.00 | |
| 90744 | 0% | 348 | $0.00 | |
| 90698 | 0% | 533 | $0.00 | |
| 90696 | 0% | 14 | $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.