Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Paul N. Smith, M.D., P.A.

Paul N. Smith, M.D., P.A. was paid $752K by Medicaid between Jan 2018 and Apr 2022, across 12 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 54% of everything it billed.

33Billing provider infoPAUL N. SMITH, M.D., P.A.
BANGOR, ME 04401
33aNPI1629112792assigned 02/20/2007
33bProvider typeSpecialist
28Total paid$752K
24GClaims11,100
24DCodes billed12
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers

Next to other Specialist providers in Maine

Rank by total paid#4 of 24
Median peer was paid$88K
This provider vs. median8.5×

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$10K$20K$30K2018201920202021202220232024
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
20183,484$225K
20192,982$199K
20201,674$120K
20212,387$168K
2022573$41K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 54% 4,973 4,020 $405K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 15% 1,772 1,447 $113K
76819 Fetal biophysical profile; without non-stress testing 15% 2,002 928 $113K
76830 Ultrasound, transvaginal 4.4% 485 461 $33K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3.7% 474 363 $28K
76820 3.7% 869 404 $28K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3.0% 267 253 $23K
76813 1.1% 109 107 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 12 12 $704.88
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 15 14 $539.21
36416 <1% 109 107 $210.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 13 12 $145.50

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.

From NPPES

Who's on the registration

Authorized officialKENNEY, BRENDA (OFFICE MANAGER)