Physician
Smith, David
Smith, David was paid $7K by Medicaid between Nov 2020 and Oct 2023, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.
33Billing provider infoSMITH, DAVID
CLARION, PA 16214
CLARION, PA 16214
33aNPI1619966561assigned 10/13/2005
33bProvider typeOrthopaedic Surgery Physician
28Total paid$7K
24GClaims501
24DCodes billed8
24AFirst – last monthNov 2020 – Oct 2023
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Pennsylvania
Rank by total paid#144 of 291
Median peer was paid$7K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2020 | 109 | $385.00 | |
| 2021 | 282 | $4K | |
| 2022 | 67 | $2K | |
| 2023 | 43 | $2K |
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 | 88% | 254 | 228 | $7K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 12% | 12 | 12 | $894.69 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 16 | 12 | $0.00 |
| 1036F | 0% | 16 | 12 | $0.00 | |
| G8421 | Bmi not documented and no reason is given | 0% | 37 | 33 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 53 | 46 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 100 | 89 | $0.00 |
| 4004F | 0% | 13 | 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.