Physician
Toby L Smith DO
Toby L Smith DO was paid $2K by Medicaid between Aug 2021 and May 2022, across 2 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 93% of everything it billed.
33Billing provider infoTOBY L SMITH DO
KAILUA KONA, HI 96740
KAILUA KONA, HI 96740
33aNPI1396360533assigned 06/13/2020
33bProvider typeInternal Medicine Physician
28Total paid$2K
24GClaims198
24DCodes billed2
24AFirst – last monthAug 2021 – May 2022
Compared with peers
Next to other Internal Medicine Physician providers in Hawaii
Rank by total paid#97 of 123
Median peer was paid$27K
This provider vs. median0.1×
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 | 147 | $1K | |
| 2022 | 51 | $992.58 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 93% | 183 | 67 | $2K |
| 99358 | Prolong nursin fac eval 15m | 7.4% | 15 | 13 | $153.68 |
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, TOBY (DO)