Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ALBERT L SMITH, M. D.PA

NPI: 1538482930 · RAYMONDVILLE, TX 78580 · Family Medicine Physician · NPI assigned 03/12/2010

$197K
Total Medicaid Paid
24,536
Total Claims
20,589
Beneficiaries
73
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCASAS, MARI (PRACTICE MANAGEMENT)
NPI Enumeration Date03/12/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,613 $32K
2019 4,417 $52K
2020 2,984 $18K
2021 4,254 $34K
2022 3,323 $35K
2023 2,487 $13K
2024 1,458 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99444 984 259 $54K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,070 2,570 $50K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,028 2,469 $49K
99490 Ccm add 20min 2,781 2,768 $11K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 264 227 $8K
99423 484 141 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 749 607 $3K
99422 302 124 $3K
99000 514 465 $2K
99091 153 153 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 207 200 $1K
99421 99 60 $1K
80053 Comprehensive metabolic panel 1,301 1,196 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,376 1,267 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 87 39 $990.91
J1040 Injection, methylprednisolone acetate, 80 mg 185 167 $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)). 41 41 $698.34
80061 Lipid panel 542 524 $694.03
90686 300 268 $345.15
0013A 46 46 $280.00
83036 Hemoglobin; glycosylated (A1C) 348 337 $245.26
90674 29 29 $235.44
81001 629 560 $233.25
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $157.85
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12 12 $140.91
99457 173 65 $116.62
93000 36 36 $106.52
J1885 Injection, ketorolac tromethamine, per 15 mg 263 221 $97.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 37 30 $70.65
99484 74 73 $46.16
99072 101 86 $25.00
84443 Thyroid stimulating hormone (TSH) 57 56 $19.36
0011A 15 15 $16.94
85651 41 38 $8.18
36415 Collection of venous blood by venipuncture 1,527 1,377 $6.00
82043 13 12 $3.21
82570 13 12 $2.98
1159F 357 299 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 217 187 $0.00
1160F 327 279 $0.00
3078F 235 193 $0.00
G8482 Influenza immunization administered or previously received 265 225 $0.00
G0444 Annual depression screening, 5 to 15 minutes 92 87 $0.00
99497 43 38 $0.00
G8598 Aspirin or another antiplatelet therapy used 13 13 $0.00
4040F 16 16 $0.00
3016F 22 18 $0.00
91300 14 14 $0.00
3288F 29 29 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 13 13 $0.00
99487 Ccm add 20min 28 28 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 18 18 $0.00
G9665 Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy 13 12 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 77 73 $0.00
G0008 Administration of influenza virus vaccine 275 235 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 306 261 $0.00
4037F 27 27 $0.00
3008F 511 431 $0.00
1111F 60 59 $0.00
2000F 547 471 $0.00
2010F 376 318 $0.00
3074F 215 183 $0.00
1036F 135 119 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 33 32 $0.00
91301 96 82 $0.00
1125F 60 55 $0.00
3044F 57 52 $0.00
0012A 15 15 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 79 74 $0.00
1101F 29 29 $0.00
3017F 14 14 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 16 16 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 13 12 $0.00