Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Matthew J Smith

Matthew J Smith was paid $82K by Medicaid between Sep 2020 and Jun 2022, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.

33Billing provider infoMATTHEW J SMITH
WATERLOO, IA 50701
33aNPI1346877552assigned 03/26/2020
28Total paid$82K
24GClaims3,696
24DCodes billed20
24AFirst – last monthSep 2020 – Jun 2022
Compared with peers

Next to other Family Medicine Physician providers in Iowa

Rank by total paid#133 of 275
Median peer was paid$69K
This provider vs. median1.2×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2020514$8K
20212,316$53K
2022866$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 79% 1,929 1,756 $65K
90460 Immunization administration through 18 years of age via any route, first or only component 12% 254 243 $10K
90686 2.3% 133 128 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.9% 18 18 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1.5% 14 14 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.4% 16 16 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 30 27 $746.06
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 <1% 14 12 $668.44
81002 <1% 196 188 $297.83
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 37 36 $183.24
90461 <1% 20 19 $42.04
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 358 341 $0.00
8 more codes
4274F 0% 45 $0.00
99072 0% 192 $0.00
3078F 0% 15 $0.00
4037F 0% 53 $0.00
3008F 0% 237 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 32 $0.00
3074F 0% 88 $0.00
3079F 0% 15 $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 officialSMITH, MATTHEW (OWNER)
Same official

Other billing entities under SMITH, MATTHEW

Full network →
ProviderLocationPaid
Aspen Consulting and Management Services, LLCIdaho Falls, ID$1.33M
Arbor Hills Psychological Services PLLCJackson, MI$1.17M
Matthew Smith MD PCWaterloo, IA$101K
Essere Vero INCClermont, FL$95K
Warwick Avenue Physical Therapy, INCWarwick, RI$78K
Highlands Center for Women, P.A.Greenville, SC$21K
Premier Orthopedic Surgery, INC.Guntersville, AL$6K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.