Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Smith, Serena

Smith, Serena was paid $12K by Medicaid between Sep 2018 and Sep 2019, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.

33Billing provider infoSMITH, SERENA
SUMTER, SC 29150
33aNPI1578654562assigned 09/27/2006
28Total paid$12K
24GClaims189
24DCodes billed3
24AFirst – last monthSep 2018 – Sep 2019
Compared with peers

Next to other Family Medicine Physician providers in South Carolina

Rank by total paid#367 of 696
Median peer was paid$14K
This provider vs. median0.8×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
201837$1K
2019152$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 73% 125 89 $9K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 48 29 $3K
96127 <1% 16 12 $51.26

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.