Smith, Horace

Smith, Horace was paid $7K by Medicaid between Oct 2020 and Sep 2022, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoSMITH, HORACE
CHICAGO, IL 60614

33aNPI1376606210assigned 12/19/2006

33bProvider typePediatric Hematology & Oncology Physician

28Total paid$7K

24GClaims115

24DCodes billed3

24AFirst – last monthOct 2020 – Sep 2022

Compared with peers

Next to other Pediatric Hematology & Oncology Physician providers in Illinois

Rank by total paid#51 of 63

Median peer was paid$29K

This provider vs. median0.2×

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

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
2020	17	$765.34
2021	51	$2K
2022	47	$4K

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	46%	68	61	$3K
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	41%	34	27	$3K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	13%	13	13	$878.48

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.