Physician
Vicki Smith MD PC
Vicki Smith MD PC was paid $408K by Medicaid between Jan 2018 and Jul 2020, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoVICKI SMITH MD PC
PITTSFIELD, MA 01201
PITTSFIELD, MA 01201
33aNPI1801099023assigned 06/06/2007
33bProvider typePediatrics Physician
28Total paid$408K
24GClaims21,234
24DCodes billed45
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#175 of 1,273
Median peer was paid$24K
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 | 7,964 | $153K | |
| 2019 | 9,001 | $172K | |
| 2020 | 4,269 | $83K |
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 | 33% | 2,072 | 1,786 | $136K |
| 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 | 28% | 1,221 | 1,103 | $114K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.7% | 998 | 961 | $27K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.9% | 259 | 259 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.9% | 203 | 203 | $20K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.6% | 1,878 | 1,707 | $19K |
| 99173 | 4.3% | 933 | 927 | $17K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.2% | 1,380 | 1,362 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 113 | 113 | $10K |
| 92551 | 2.1% | 958 | 908 | $9K | |
| 1000F | 1.0% | 327 | 326 | $4K | |
| 92567 | <1% | 222 | 196 | $3K |
33 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 117 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 19 | $2K |
| 94760 | <1% | 779 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 129 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 14 | $1K |
| 81002 | <1% | 467 | $1K | |
| 90461 | <1% | 43 | $695.40 | |
| 85018 | <1% | 138 | $323.52 | |
| 83655 | <1% | 14 | $177.37 | |
| 96127 | <1% | 205 | $21.98 | |
| 96160 | <1% | 320 | $2.09 | |
| G8482 | Influenza immunization administered or previously received | 0% | 577 | $0.00 |
| 1039F | 0% | 435 | $0.00 | |
| 1033F | 0% | 820 | $0.00 | |
| 4124F | 0% | 220 | $0.00 | |
| 1032F | 0% | 82 | $0.00 | |
| 90687 | 0% | 12 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 144 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 476 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 12 | $0.00 |
| 90734 | 0% | 13 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 372 | $0.00 |
| 90686 | 0% | 285 | $0.00 | |
| 3008F | 0% | 1,127 | $0.00 | |
| 2000F | 0% | 582 | $0.00 | |
| 1030F | 0% | 959 | $0.00 | |
| 3351F | 0% | 201 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 81 | $0.00 |
| 1031F | 0% | 1,549 | $0.00 | |
| 1220F | 0% | 425 | $0.00 | |
| 1038F | 0% | 12 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 28 | $0.00 |
| 90651 | 0% | 13 | $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 officialSMITH, VICKI (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Cross Trails Medical Center | Cape Girardeau, MO | $1.11M |
| Cross Trails Medical Center | Cape Girardeau, MO | $685K |
| Cross Trails Medical Center | Marble Hill, MO | $361K |
| Community Action Committee of Victoria Texas | Victoria, TX | $75K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.