Smith, Edmundo

Smith, Edmundo was paid $40K by Medicaid between Aug 2020 and Dec 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 92% of everything it billed.

33Billing provider infoSMITH, EDMUNDO
JOHNSTON, RI 02919

33aNPI1710384896assigned 12/04/2014

33bProvider typeFamily Nurse Practitioner

28Total paid$40K

24GClaims981

24DCodes billed5

24AFirst – last monthAug 2020 – Dec 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Rhode Island

Rank by total paid#117 of 266

Median peer was paid$31K

This provider vs. median1.3×

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	140	$3K
2021	380	$17K
2022	255	$12K
2024incomplete	206	$8K

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	92%	802	722	$37K
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	4.5%	26	26	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.2%	31	28	$902.86
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.1%	52	45	$440.70
G0467	Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit	0%	70	14	$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.