Smiley, Paul

Smiley, Paul was paid $5K by Medicaid between Mar 2018 and Mar 2023, across 3 billing codes. Its largest line is 20610, — 45% of everything it billed.

33Billing provider infoSMILEY, PAUL
BURLINGTON, MA 01805

33aNPI1417057043assigned 09/24/2006

33bProvider typeSports Medicine (Orthopaedic Surgery) Physician

28Total paid$5K

24GClaims175

24DCodes billed3

24AFirst – last monthMar 2018 – Mar 2023

Compared with peers

Next to other Sports Medicine (Orthopaedic Surgery) Physician providers in Massachusetts

Rank by total paid#7 of 11

Median peer was paid$5K

This provider vs. median1.0×

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	30	$529.40
2020	14	$531.76
2021	55	$1K
2022	39	$713.32
2023	37	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
20610		45%	52	49	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	39%	98	95	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	25	25	$745.48

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.