Smith, Stephen

Smith, Stephen was paid $42K by Medicaid between Jan 2018 and Mar 2021, across 3 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 39% of everything it billed.

33Billing provider infoSMITH, STEPHEN
BALTIMORE, MD 21234

33aNPI1588732077assigned 12/01/2006

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$42K

24GClaims627

24DCodes billed3

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Maryland

Rank by total paid#21 of 33

Median peer was paid$154K

This provider vs. median0.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (11/20/2023).

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	465	$34K
2019	79	$4K
2020	71	$5K
2021	12	$10.26

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99308	Subsequent nursing facility care, per day, straightforward	39%	286	160	$16K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	37%	238	231	$16K
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	24%	103	96	$10K

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.