NP / PA
Smith, Rachael
Smith, Rachael was paid $23K by Medicaid between Nov 2020 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoSMITH, RACHAEL
FRANKLIN, PA 16323
FRANKLIN, PA 16323
33aNPI1437225372assigned 11/24/2006
33bProvider typeFamily Nurse Practitioner
28Total paid$23K
24GClaims484
24DCodes billed5
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Pennsylvania
Rank by total paid#355 of 1,075
Median peer was paid$8K
This provider vs. median2.7×
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 | 215 | $11K | |
| 2021 | 96 | $6K | |
| 2023 | 149 | $5K | |
| 2024incomplete | 24 | $880.04 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 46% | 137 | 134 | $10K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 27% | 208 | 206 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 102 | 99 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.3% | 25 | 25 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 12 | 12 | $271.68 |
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.