Physician
Smith, Michael
Smith, Michael was paid $97K by Medicaid between Jan 2018 and Sep 2023, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoSMITH, MICHAEL
CHAMPAIGN, IL 61820
CHAMPAIGN, IL 61820
33aNPI1952319667assigned 08/04/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$97K
24GClaims2,311
24DCodes billed15
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Illinois
Rank by total paid#280 of 911
Median peer was paid$41K
This provider vs. median2.4×
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 | 493 | $20K | |
| 2019 | 346 | $14K | |
| 2020 | 500 | $17K | |
| 2021 | 416 | $17K | |
| 2022 | 297 | $16K | |
| 2023 | 259 | $13K |
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 | 46% | 1,110 | 1,025 | $45K |
| 0502F | 14% | 302 | 232 | $13K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 9.3% | 203 | 200 | $9K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 9.2% | 203 | 200 | $9K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 6.1% | 95 | 92 | $6K |
| 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 | 4.8% | 70 | 67 | $5K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 4.3% | 64 | 62 | $4K |
| 76830 | Ultrasound, transvaginal | 3.9% | 59 | 59 | $4K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 1.3% | 18 | 18 | $1K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 12 | 12 | $343.92 |
| 87210 | <1% | 58 | 57 | $253.80 | |
| 88142 | <1% | 26 | 26 | $198.28 |
3 more codes
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.