Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Raymondville › NPI 1538482930
Physician

Albert L Smith, M. D.Pa

Albert L Smith, M. D.Pa was paid $197K by Medicaid between Jan 2018 and Nov 2024, across 73 billing codes. Its largest line is 99444, — 28% of everything it billed.

33Billing provider infoALBERT L SMITH, M. D.PA
RAYMONDVILLE, TX 78580
33aNPI1538482930assigned 03/12/2010
28Total paid$197K
24GClaims24,536
24DCodes billed73
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#305 of 1,204
Median peer was paid$31K
This provider vs. median6.4×

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

$0$5.0K$10K2018201920202021202220232024
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
20185,613$32K
20194,417$52K
20202,984$18K
20214,254$34K
20223,323$35K
20232,487$13K
2024incomplete1,458$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99444 28% 984 259 $54K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 3,070 2,570 $50K
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 25% 3,028 2,469 $49K
99490 Ccm add 20min 5.7% 2,781 2,768 $11K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 4.0% 264 227 $8K
99423 1.8% 484 141 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.7% 749 607 $3K
99422 1.6% 302 124 $3K
99000 <1% 514 465 $2K
99091 <1% 153 153 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 207 200 $1K
99421 <1% 99 60 $1K
61 more codes
80053 Comprehensive metabolic panel <1% 1,301 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,376 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 87 $990.91
J1040 Injection, methylprednisolone acetate, 80 mg <1% 185 $842.47
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). <1% 41 $698.34
80061 Lipid panel <1% 542 $694.03
90686 <1% 300 $345.15
0013A <1% 46 $280.00
83036 Hemoglobin; glycosylated (A1C) <1% 348 $245.26
90674 <1% 29 $235.44
81001 <1% 629 $233.25
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 12 $157.85
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 12 $140.91
99457 <1% 173 $116.62
93000 <1% 36 $106.52
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 263 $97.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 37 $70.65
99484 <1% 74 $46.16
99072 <1% 101 $25.00
84443 Thyroid stimulating hormone (TSH) <1% 57 $19.36
0011A <1% 15 $16.94
85651 <1% 41 $8.18
36415 Collection of venous blood by venipuncture <1% 1,527 $6.00
82043 <1% 13 $3.21
82570 <1% 13 $2.98
1159F 0% 357 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 217 $0.00
1160F 0% 327 $0.00
3078F 0% 235 $0.00
G8482 Influenza immunization administered or previously received 0% 265 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 92 $0.00
99497 0% 43 $0.00
G8598 Aspirin or another antiplatelet therapy used 0% 13 $0.00
4040F 0% 16 $0.00
3016F 0% 22 $0.00
91300 0% 14 $0.00
3288F 0% 29 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 13 $0.00
99487 Ccm add 20min 0% 28 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 0% 18 $0.00
G9665 Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy 0% 13 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 0% 77 $0.00
G0008 Administration of influenza virus vaccine 0% 275 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 306 $0.00
4037F 0% 27 $0.00
3008F 0% 511 $0.00
1111F 0% 60 $0.00
2000F 0% 547 $0.00
2010F 0% 376 $0.00
3074F 0% 215 $0.00
1036F 0% 135 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 33 $0.00
91301 0% 96 $0.00
1125F 0% 60 $0.00
3044F 0% 57 $0.00
0012A 0% 15 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 79 $0.00
1101F 0% 29 $0.00
3017F 0% 14 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 16 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 13 $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 officialCASAS, MARI (PRACTICE MANAGEMENT)