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

Smith, Kareen

Smith, Kareen was paid $55K by Medicaid between Oct 2019 and Aug 2020, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoSMITH, KAREEN
MISSOURI CITY, TX 77459
33aNPI1588922009assigned 05/03/2012
33bProvider typePediatrics Physician
28Total paid$55K
24GClaims3,261
24DCodes billed31
24AFirst – last monthOct 2019 – Aug 2020
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#782 of 1,136
Median peer was paid$329K
This provider vs. median0.2×

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

$0$5.0K$10K2018201920202021202220232024
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
2019394$3K
20202,867$51K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 445 411 $17K
99242 12% 87 80 $6K
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 10% 109 102 $6K
97802 10% 335 311 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 7.1% 469 166 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6.1% 47 45 $3K
99000 5.1% 264 245 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3.0% 57 54 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.7% 16 16 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.6% 15 15 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.3% 15 14 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.9% 132 130 $1K
19 more codes
S9441 Asthma education, non-physician provider, per session <1% 36 $467.77
92552 <1% 122 $447.14
90461 <1% 62 $438.40
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 60 $432.88
83036 Hemoglobin; glycosylated (A1C) <1% 26 $251.93
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 15 $233.36
98960 <1% 36 $181.51
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 14 $161.94
99401 <1% 391 $145.56
87081 <1% 15 $97.07
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 18 $17.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 17 $16.00
82947 <1% 12 $8.44
36416 <1% 58 $8.09
90686 0% 16 $0.00
1005F 0% 36 $0.00
36415 Collection of venous blood by venipuncture 0% 16 $0.00
99173 0% 125 $0.00
G8482 Influenza immunization administered or previously received 0% 195 $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.