Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SAM P SMITH DO LLC

NPI: 1710904636 · GILBERT, AZ 85234 · Dermatology Physician · NPI assigned 07/16/2006

$97K
Total Medicaid Paid
2,334
Total Claims
2,149
Beneficiaries
4
Codes Billed
2018-01
First Month
2023-08
Last Month

Provider Details

Authorized OfficialSMITH, SAM (PRESIDENT)
NPI Enumeration Date07/16/2006

Related Entities

Other providers sharing the same authorized official: SMITH, SAM

ProviderCityStateTotal Paid
HERITAGE ALF OF PLANT CITY INC PLANT CITY FL $1.02M
LEAHBELLA, LLC TAMPA FL $242K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 629 $30K
2019 431 $16K
2020 415 $17K
2021 366 $15K
2022 311 $12K
2023 182 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,889 1,719 $64K
17004 364 350 $27K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 42 42 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 39 38 $3K