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

Smith, Gerald

Smith, Gerald was paid $117K by Medicaid between Nov 2020 and Dec 2024, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 71% of everything it billed.

33Billing provider infoSMITH, GERALD
DU BOIS, PA 15801
33aNPI1912184284assigned 01/29/2008
28Total paid$117K
24GClaims1,955
24DCodes billed3
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Pennsylvania

Rank by total paid#251 of 1,211
Median peer was paid$19K
This provider vs. median6.0×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
202041$2K
2021616$30K
2022600$28K
2023391$27K
2024incomplete307$30K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 71% 1,230 1,214 $84K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 15% 427 423 $17K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 14% 298 290 $16K

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.