Smith, David

Smith, David was paid $51K by Medicaid between Jan 2018 and Jul 2021, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 99% of everything it billed.

33Billing provider infoSMITH, DAVID
SAN DIEGO, CA 92108

33aNPI1811930357assigned 06/13/2006

33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician

28Total paid$51K

24GClaims2,435

24DCodes billed2

24AFirst – last monthJan 2018 – Jul 2021

Compared with peers

Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in California

Rank by total paid#34 of 70

Median peer was paid$39K

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (12/19/2024).

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	973	$19K
2019	687	$16K
2020	594	$12K
2021	181	$4K

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	99%	2,404	2,250	$50K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.1%	31	30	$537.96

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.