Physician
SMH Physician Services INC
SMH Physician Services INC was paid $1.90M by Medicaid between Oct 2021 and Dec 2024, across 55 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 15% of everything it billed.
33Billing provider infoSMH PHYSICIAN SERVICES INC
SARASOTA, FL 34239
SARASOTA, FL 34239
33aNPI1346295292assigned 05/22/2006
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$1.90M
24GClaims40,863
24DCodes billed55
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in Florida
Rank by total paid#3 of 69
Median peer was paid$14K
This provider vs. median136×
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 | 123 | $9K | |
| 2022 | 635 | $35K | |
| 2023 | 28,162 | $1.39M | |
| 2024incomplete | 11,943 | $471K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 15% | 3,555 | 2,995 | $286K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 3,916 | 3,554 | $231K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 4,831 | 2,356 | $218K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 6,028 | 2,809 | $203K |
| 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 | 7.2% | 2,633 | 2,435 | $137K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.1% | 2,282 | 2,220 | $116K |
| H1000 | Prenatal care, at-risk assessment | 5.9% | 1,641 | 1,230 | $113K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 1,089 | 1,077 | $100K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.9% | 1,106 | 958 | $93K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 4.7% | 1,015 | 973 | $90K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.9% | 562 | 541 | $55K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.5% | 730 | 633 | $47K |
43 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 377 | $36K |
| 90461 | 1.2% | 914 | $23K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.0% | 155 | $19K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 394 | $19K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 66 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 247 | $11K |
| 99283 | Emergency room visit (moderate) | <1% | 194 | $8K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,894 | $8K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 119 | $7K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 322 | $7K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 112 | $7K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 76 | $5K |
| 59025 | Fetal non-stress test | <1% | 352 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 107 | $5K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 316 | $4K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,674 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 36 | $4K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 904 | $3K |
| 99285 | Emergency room visit (most serious) | <1% | 54 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 887 | $3K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 46 | $3K |
| 76813 | <1% | 15 | $2K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 29 | $2K |
| 99284 | Emergency room visit (serious) | <1% | 27 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | $729.51 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 38 | $662.04 |
| 99310 | Prolong nursin fac eval 15m | <1% | 145 | $575.63 |
| 76820 | <1% | 21 | $295.59 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 39 | $274.81 |
| 81003 | <1% | 140 | $165.77 | |
| 96161 | <1% | 90 | $162.75 | |
| 90633 | <1% | 110 | $38.99 | |
| 90686 | <1% | 198 | $23.63 | |
| 90656 | <1% | 83 | $0.02 | |
| 90707 | <1% | 25 | $0.01 | |
| 90670 | 0% | 250 | $0.00 | |
| 99177 | 0% | 273 | $0.00 | |
| 90681 | 0% | 49 | $0.00 | |
| 90700 | 0% | 26 | $0.00 | |
| 90647 | 0% | 268 | $0.00 | |
| 90677 | 0% | 156 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 90723 | 0% | 221 | $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 officialSHIREY, MICHELLE (ADMINISTRATOR)
Parent organizationSMH PHYSICIAN SERVICES INC
| Provider | Location | Paid |
|---|---|---|
| SMH Physician Services INC | Sarasota, FL | $4.67M |
| SMH Physician Services INC | Sarasota, FL | $48K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.