Physician
Smith, Matthew
Smith, Matthew was paid $127K by Medicaid between Jan 2018 and Oct 2020, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoSMITH, MATTHEW
WATERLOO, IA 50701
WATERLOO, IA 50701
33aNPI1609876507assigned 07/21/2005
33bProvider typeFamily Medicine Physician
28Total paid$127K
24GClaims6,119
24DCodes billed24
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other Family Medicine Physician providers in Iowa
Rank by total paid#119 of 275
Median peer was paid$69K
This provider vs. median1.8×
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
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 | 2,126 | $52K | |
| 2019 | 1,979 | $43K | |
| 2020 | 2,014 | $32K |
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 | 65% | 2,631 | 2,251 | $83K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 20% | 662 | 631 | $25K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.4% | 78 | 74 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 42 | 42 | $3K |
| 90688 | 1.9% | 234 | 227 | $2K | |
| 81002 | 1.4% | 839 | 795 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 26 | 25 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 68 | 58 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 27 | 25 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 106 | 101 | $758.10 |
| 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 | <1% | 14 | 14 | $668.00 |
| 90686 | <1% | 24 | 24 | $575.98 |
12 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $170.40 |
| 90461 | <1% | 98 | $52.55 | |
| 90687 | <1% | 17 | $9.40 | |
| 3008F | 0% | 242 | $0.00 | |
| 3074F | 0% | 149 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 142 | $0.00 |
| 3017F | 0% | 15 | $0.00 | |
| 4037F | 0% | 17 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 434 | $0.00 |
| 3078F | 0% | 161 | $0.00 | |
| 99072 | 0% | 68 | $0.00 | |
| 4274F | 0% | 12 | $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.