Smith, Robert

Smith, Robert was paid $25K by Medicaid between Jan 2018 and Jul 2021, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoSMITH, ROBERT
RICHMOND, VA 23225

33aNPI1891773578assigned 01/04/2006

33bProvider typeGynecology Physician

28Total paid$25K

24GClaims928

24DCodes billed12

24AFirst – last monthJan 2018 – Jul 2021

Compared with peers

Next to other Gynecology Physician providers in Virginia

Rank by total paid#10 of 21

Median peer was paid$8K

This provider vs. median3.0×

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	625	$11K
2019	122	$5K
2020	67	$4K
2021	114	$5K

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	56%	309	279	$14K
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	39%	132	128	$10K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	3.4%	12	12	$860.90
87210		1.6%	94	85	$415.41
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%	75	62	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	102	83	$0.00
4004F		0%	26	19	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	16	16	$0.00
G8484	Influenza immunization was not administered, reason not given	0%	15	12	$0.00
G8419	Bmi documented outside normal parameters, no follow-up plan documented, no reason given	0%	53	36	$0.00
1036F		0%	70	60	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	24	20	$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.