KENNETH R SMITH D. O. P.C.
NPI: 1407992381
· GLENDALE, AZ 85301
· Adult Medicine Physician
· NPI assigned 01/29/2007
$163K
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, KENNETH (PRESIDENT) |
| NPI Enumeration Date | 01/29/2007 |
Related Entities
Other providers sharing the same authorized official: SMITH, KENNETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
20 |
$21.47 |
| 2019 |
280 |
$18K |
| 2020 |
829 |
$31K |
| 2021 |
544 |
$38K |
| 2022 |
437 |
$31K |
| 2023 |
646 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,033 |
1,729 |
$144K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
342 |
264 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$343.84 |
| 3074F |
|
154 |
114 |
$0.00 |
| 3079F |
|
51 |
44 |
$0.00 |
| 3075F |
|
15 |
12 |
$0.00 |
| 3078F |
|
146 |
111 |
$0.00 |