Smith, Karen

Smith, Karen was paid $75K by Medicaid between Jan 2018 and Nov 2022, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoSMITH, KAREN
SIDNEY, OH 45365

33aNPI1578517314assigned 05/19/2006

33bProvider typePediatrics Physician

28Total paid$75K

24GClaims3,371

24DCodes billed17

24AFirst – last monthJan 2018 – Nov 2022

Compared with peers

Next to other Pediatrics Physician providers in Ohio

Rank by total paid#153 of 401

Median peer was paid$30K

This provider vs. median2.6×

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
2018	3,341	$74K
2019	13	$534.22
2022	17	$348.88

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	32%	613	564	$24K
90460	Immunization administration through 18 years of age via any route, first or only component	24%	1,194	470	$18K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	17%	276	238	$13K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	13%	176	166	$9K
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	8.3%	98	94	$6K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.0%	73	68	$4K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	15	14	$178.43
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	15	15	$117.35
96127		<1%	33	29	$108.59
36416		<1%	44	40	$77.88
90686		<1%	117	109	$56.08
90648		<1%	213	191	$25.11

5 more codes

90670	<1%	216	$25.03
90723	<1%	141	$20.08
90685	<1%	77	$7.05
90710	<1%	35	$1.00
90633	<1%	35	$1.00

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.