Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › Ventnor › NPI 1437212586
Physician

David J Smith MD PA

David J Smith MD PA was paid $5K by Medicaid between Jan 2018 and Jul 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoDAVID J SMITH MD PA
VENTNOR, NJ 08406
33aNPI1437212586assigned 12/19/2006
33bProvider typeOphthalmology Physician
28Total paid$5K
24GClaims1,226
24DCodes billed4
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers

Next to other Ophthalmology Physician providers in New Jersey

Rank by total paid#131 of 213
Median peer was paid$20K
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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SMITH, DAVID controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
2018211$0.00
2019334$0.00
2020301$621.00
2021291$1K
202229$884.00
202327$644.55
2024incomplete33$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 57% 90 75 $3K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 43% 28 27 $2K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 755 733 $17.00
1036F 0% 353 342 $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.

From NPPES

Who's on the registration

Authorized officialSMITH, DAVID (OWNER)
Same official

Other billing entities under SMITH, DAVID

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.