Smith, Edward

Smith, Edward was paid $196K by Medicaid between Jan 2018 and Jun 2024, across 5 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 50% of everything it billed.

33Billing provider infoSMITH, EDWARD
MILWAUKEE, WI 53212

33aNPI1700062155assigned 01/16/2008

33bProvider typeClinical Social Worker

28Total paid$196K

24GClaims3,292

24DCodes billed5

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other Clinical Social Worker providers in Wisconsin

Rank by total paid#25 of 184

Median peer was paid$12K

This provider vs. median17×

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	438	$7K
2019	565	$17K
2020	218	$15K
2021	385	$29K
2022	645	$60K
2023	936	$62K
2024incomplete	105	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	50%	1,261	476	$98K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	41%	1,270	389	$80K
H0005	Alcohol and/or drug services; group counseling by a clinician	7.8%	693	95	$15K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	1.5%	31	24	$3K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	37	15	$231.90

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.