NP / PA
Smith, Matthew
Smith, Matthew was paid $197K by Medicaid between Jan 2019 and Dec 2020, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoSMITH, MATTHEW
CLEVELAND, TN 37311
CLEVELAND, TN 37311
33aNPI1568930410assigned 11/08/2018
33bProvider typePsychiatric/Mental Health Nurse Practitioner
28Total paid$197K
24GClaims7,414
24DCodes billed12
24AFirst – last monthJan 2019 – Dec 2020
Compared with peers
Next to other Psychiatric/Mental Health Nurse Practitioner providers in Tennessee
Rank by total paid#9 of 92
Median peer was paid$21K
This provider vs. median9.2×
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.
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 | |
|---|---|---|---|
| 2019 | 3,251 | $75K | |
| 2020 | 4,163 | $122K |
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 | 44% | 2,090 | 1,895 | $87K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 2,052 | 1,886 | $76K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 14% | 327 | 279 | $28K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 323 | 264 | $3K |
| 3008F | 1.0% | 1,450 | 1,298 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25 | 25 | $858.20 |
| 3074F | <1% | 89 | 70 | $110.00 | |
| 3078F | <1% | 34 | 30 | $40.00 | |
| 3079F | <1% | 43 | 33 | $20.00 | |
| G9010 | Coordinated care fee, risk adjusted maintenance, level 4 | 0% | 327 | 279 | $0.00 |
| G9005 | Coordinated care fee, risk adjusted maintenance | 0% | 327 | 279 | $0.00 |
| G9006 | Coordinated care fee, home monitoring | 0% | 327 | 279 | $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.