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

Smith, Michael

Smith, Michael was paid $85K by Medicaid between Jan 2018 and Oct 2022, across 11 billing codes. Its largest line is 90686, — 28% of everything it billed.

33Billing provider infoSMITH, MICHAEL
URBANA, IL 61801
33aNPI1861491599assigned 07/15/2005
28Total paid$85K
24GClaims3,970
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#1,291 of 1,980
Median peer was paid$150K
This provider vs. median0.6×

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

$0$10K$20K2018201920202021202220232024
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
201813$528.00
20201,372$14K
20211,909$50K
2022676$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90686 28% 1,957 1,688 $23K
0004A 20% 460 345 $17K
0071A 20% 483 368 $17K
0072A 15% 329 265 $13K
0064A 9.0% 189 179 $8K
0054A 3.7% 77 76 $3K
90662 1.7% 28 28 $1K
0124A 1.5% 31 30 $1K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity <1% 13 13 $528.00
G0008 Administration of influenza virus vaccine <1% 204 200 $470.88
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 199 99 $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.