Kalsmith, Benjamin

Kalsmith, Benjamin was paid $47K by Medicaid between Dec 2020 and Oct 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.

33Billing provider infoKALSMITH, BENJAMIN
PGH, PA 15206

33aNPI1902925837assigned 03/29/2007

33bProvider typeCardiovascular Disease Physician

28Total paid$47K

24GClaims1,588

24DCodes billed6

24AFirst – last monthDec 2020 – Oct 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Pennsylvania

Rank by total paid#63 of 592

Median peer was paid$3K

This provider vs. median15×

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
2020	24	$661.30
2021	285	$6K
2022	421	$12K
2023	435	$13K
2024incomplete	423	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	42%	622	608	$20K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	27%	366	144	$13K
93000		11%	437	427	$5K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	10%	75	75	$5K
99223	Prolong inpt eval add15 m	8.2%	43	43	$4K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	45	40	$215.73

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.