Smith, Monica

Smith, Monica was paid $43K by Medicaid between Dec 2020 and Dec 2024, across 6 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 49% of everything it billed.

33Billing provider infoSMITH, MONICA
LEXINGTON, SC 29073

33aNPI1467770883assigned 05/10/2010

33bProvider typeObstetrics & Gynecology Physician

28Total paid$43K

24GClaims1,749

24DCodes billed6

24AFirst – last monthDec 2020 – Dec 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in South Carolina

Rank by total paid#77 of 206

Median peer was paid$10K

This provider vs. median4.4×

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	16	$429.00
2021	233	$7K
2022	263	$9K
2023	618	$20K
2024incomplete	619	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	49%	723	669	$21K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	299	296	$11K
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	23%	90	85	$10K
59025	Fetal non-stress test	<1%	13	13	$184.08
81025		<1%	26	26	$124.80
3008F		0%	598	582	$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.