Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

SMH Physician Services INC

SMH Physician Services INC was paid $4.67M by Medicaid between Aug 2018 and Mar 2023, across 68 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 20% of everything it billed.

33Billing provider infoSMH PHYSICIAN SERVICES INC
SARASOTA, FL 34239
33aNPI1750614996assigned 09/04/2009
33bProvider typeOrthopaedic Trauma Physician
28Total paid$4.67M
24GClaims118,396
24DCodes billed68
24AFirst – last monthAug 2018 – Mar 2023
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
201886$187.36
201915,022$537K
202033,714$1.08M
202135,358$1.40M
202230,998$1.50M
20233,218$156K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 20% 39,903 15,774 $930K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 11,748 10,404 $648K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 10% 12,301 6,119 $483K
99223 Prolong inpt eval add15 m 8.9% 4,685 3,870 $416K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 6.9% 3,982 3,757 $323K
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 6.6% 4,482 4,135 $309K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 5.5% 2,439 2,366 $256K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.9% 1,899 1,843 $180K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.5% 1,794 1,584 $165K
90460 Immunization administration through 18 years of age via any route, first or only component 3.4% 4,367 4,244 $160K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 3.3% 1,304 1,260 $155K
76819 Fetal biophysical profile; without non-stress testing 3.3% 2,605 1,863 $154K
56 more codes
99239 Hospital discharge day management, more than 30 minutes 2.1% 2,204 $99K
H1000 Prenatal care, at-risk assessment 1.3% 869 $62K
99283 Emergency room visit (moderate) 1.1% 1,093 $52K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 394 $38K
90461 <1% 1,901 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 708 $33K
99308 Subsequent nursing facility care, per day, straightforward <1% 6,875 $32K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 429 $27K
99220 <1% 380 $26K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 947 $19K
99222 Initial hospital care, per day, moderate complexity <1% 232 $10K
99204 Doctor's office visit, new patient (more involved) <1% 112 $8K
90648 <1% 619 $5K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 63 $4K
99203 Doctor's office visit, new patient (routine) <1% 40 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,540 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 784 $3K
76820 <1% 122 $3K
99253 <1% 40 $3K
59025 Fetal non-stress test <1% 156 $3K
99254 <1% 27 $3K
99307 <1% 1,025 $3K
99284 Emergency room visit (serious) <1% 26 $2K
99242 <1% 29 $2K
36415 Collection of venous blood by venipuncture <1% 1,498 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 16 $2K
90686 <1% 907 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 148 $1K
76821 <1% 19 $1K
96161 <1% 233 $1K
87428 <1% 28 $912.56
99221 <1% 29 $831.24
99252 <1% 18 $729.33
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 17 $621.14
92587 <1% 41 $604.12
99238 Hospital discharge day management, 30 minutes or less <1% 18 $503.11
90647 <1% 279 $472.40
90670 <1% 971 $444.82
99173 <1% 131 $405.19
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 13 $324.69
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 385 $320.34
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 72 $287.78
90716 <1% 146 $210.90
90633 <1% 81 $197.02
99177 <1% 153 $147.23
90685 <1% 28 $145.88
87807 <1% 12 $108.64
99305 <1% 32 $82.61
96127 <1% 13 $69.45
90723 <1% 576 $40.00
85018 <1% 13 $24.06
81003 <1% 17 $19.52
90707 <1% 133 $0.02
94760 0% 24 $0.00
99318 0% 23 $0.00
90681 0% 198 $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 officialSHIREY, MICHELLE (EXECUTIVE DIRECTOR)
Same official

Other billing entities under SHIREY, MICHELLE

Full network →
ProviderLocationPaid
SMH Physician Services INCSarasota, FL$1.90M
SMH Physician Services INCSarasota, FL$48K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.