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

Smith, Nicole

Smith, Nicole was paid $409K by Medicaid between Jan 2020 and Sep 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoSMITH, NICOLE
SILVER SPRING, MD 20904
33aNPI1366537565assigned 10/04/2006
33bProvider typeHospitalist Physician
28Total paid$409K
24GClaims6,996
24DCodes billed22
24AFirst – last monthJan 2020 – Sep 2024
Compared with peers

Next to other Hospitalist Physician providers in Maryland

Rank by total paid#18 of 39
Median peer was paid$247K
This provider vs. median1.7×

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$10K$20K2018201920202021202220232024
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
20202,143$115K
20212,105$130K
20221,661$113K
2023761$30K
2024incomplete326$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 46% 2,861 2,224 $187K
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 17% 678 592 $71K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11% 537 476 $47K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 561 471 $47K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.7% 172 150 $15K
90658 1.8% 392 365 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.7% 66 62 $7K
99460 1.5% 81 74 $6K
90670 1.2% 235 205 $5K
90698 1.1% 197 185 $4K
99239 Hospital discharge day management, more than 30 minutes 1.0% 53 47 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 79 69 $3K
10 more codes
99174 <1% 331 $2K
90680 <1% 71 $2K
99173 <1% 548 $1K
99462 <1% 18 $379.89
90744 <1% 19 $279.36
90710 <1% 18 $279.36
90656 <1% 18 $93.12
91307 0% 16 $0.00
90685 0% 17 $0.00
91300 0% 28 $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.