Physician
Great Lakes Pediatric Surgeons, INC.
Great Lakes Pediatric Surgeons, INC. was paid $458K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 56% of everything it billed.
33Billing provider infoGREAT LAKES PEDIATRIC SURGEONS, INC.
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
33aNPI1669455267assigned 11/29/2005
33bProvider typePediatric Surgery Physician
28Total paid$458K
24GClaims7,146
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SMITH, DAVID controls 20+ related entities in our dataset. Read more
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 | 776 | $46K | |
| 2019 | 1,009 | $49K | |
| 2020 | 993 | $54K | |
| 2021 | 1,020 | $67K | |
| 2022 | 993 | $67K | |
| 2023 | 1,512 | $100K | |
| 2024incomplete | 843 | $74K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 56% | 3,348 | 3,189 | $257K |
| 99222 | Initial hospital care, per day, moderate complexity | 17% | 912 | 807 | $79K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 14% | 1,981 | 1,794 | $65K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.0% | 561 | 521 | $32K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.2% | 214 | 77 | $10K |
| 43762 | 1.4% | 39 | 38 | $7K | |
| 99221 | 1.1% | 77 | 71 | $5K | |
| 43760 | <1% | 14 | 12 | $4K |
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 officialSMITH, DAVID (PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.