Smith, Mark

Smith, Mark was paid $14K by Medicaid between Jan 2018 and Nov 2018, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 47% of everything it billed.

33Billing provider infoSMITH, MARK
SALEM, VA 24153

33aNPI1952690380assigned 04/06/2011

33bProvider typeEmergency Medicine Physician

28Total paid$14K

24GClaims170

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2018

Compared with peers

Next to other Emergency Medicine Physician providers in Virginia

Rank by total paid#123 of 447

Median peer was paid$6K

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	170	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	47%	55	55	$6K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	35%	59	59	$5K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	18%	56	56	$2K

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.