Physician
Smith, Edward
Smith, Edward was paid $26K by Medicaid between Jan 2018 and Apr 2023, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoSMITH, EDWARD
GROVE CITY, PA 16127
GROVE CITY, PA 16127
33aNPI1376512590assigned 03/17/2006
33bProvider typeFamily Medicine Physician
28Total paid$26K
24GClaims1,737
24DCodes billed9
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#1,236 of 2,756
Median peer was paid$19K
This provider vs. median1.3×
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 | 42 | $2K | |
| 2020 | 63 | $2K | |
| 2021 | 1,298 | $15K | |
| 2022 | 259 | $5K | |
| 2023 | 75 | $2K |
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 | 68% | 552 | 517 | $17K |
| 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 | 30% | 175 | 169 | $8K |
| 90682 | 1.5% | 12 | 12 | $374.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | 12 | $188.16 |
| 3079F | 0% | 122 | 110 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 208 | 199 | $0.00 |
| 3074F | 0% | 373 | 356 | $0.00 | |
| 3008F | 0% | 16 | 16 | $0.00 | |
| 3078F | 0% | 267 | 256 | $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.