Smith, Clay

Smith, Clay was paid $81K by Medicaid between Jan 2018 and Sep 2020, across 8 billing codes. Its largest line is 99285, emergency room visit (most serious) — 46% of everything it billed.

33Billing provider infoSMITH, CLAY
NASHVILLE, TN 37232

33aNPI1659469930assigned 10/11/2006

33bProvider typePediatric Anesthesiology Physician

28Total paid$81K

24GClaims1,210

24DCodes billed8

24AFirst – last monthJan 2018 – Sep 2020

Compared with peers

Next to other Pediatric Anesthesiology Physician providers in Tennessee

Rank by total paid#3 of 9

Median peer was paid$46K

This provider vs. median1.7×

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	509	$47K
2019	559	$27K
2020	142	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	46%	279	242	$37K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	22%	289	252	$18K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	16%	126	106	$13K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	11%	152	113	$9K
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	2.4%	42	41	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.2%	33	29	$949.53
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.1%	165	69	$882.57
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	124	101	$545.82

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.