Clinic
Smitmar Health Entities
Smitmar Health Entities was paid $107K by Medicaid between Aug 2021 and Aug 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoSMITMAR HEALTH ENTITIES
DECATUR, AL 35601
DECATUR, AL 35601
33aNPI1740899111assigned 07/30/2020
33bProvider typeUrgent Care Clinic/Center
28Total paid$107K
24GClaims3,498
24DCodes billed19
24AFirst – last monthAug 2021 – Aug 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Alabama
Rank by total paid#28 of 59
Median peer was paid$77K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2021 | 476 | $22K | |
| 2022 | 1,803 | $34K | |
| 2023 | 771 | $30K | |
| 2024incomplete | 448 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 1,224 | 761 | $52K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 38% | 627 | 458 | $41K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.5% | 176 | 87 | $4K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.5% | 137 | 107 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.6% | 46 | 40 | $2K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.3% | 15 | 12 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 23 | 20 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 111 | 69 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 82 | 74 | $1K |
| 87807 | <1% | 40 | 40 | $418.00 | |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | <1% | 15 | 14 | $355.04 |
| 99000 | <1% | 42 | 37 | $116.20 |
7 more codes
| 96127 | <1% | 31 | $75.69 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 315 | $20.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 339 | $6.20 |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 0% | 109 | $0.00 |
| J8540 | Dexamethasone, oral, 0.25 mg | 0% | 80 | $0.00 |
| J1094 | Injection, dexamethasone acetate, 1 mg | 0% | 58 | $0.00 |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | 0% | 28 | $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.
From NPPES
Who's on the registration
Authorized officialMARSHALL, TIFFANIE (FNP)