Physician
Smiley, Kristin
Smiley, Kristin was paid $86K by Medicaid between Oct 2020 and Feb 2023, across 14 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 59% of everything it billed.
33Billing provider infoSMILEY, KRISTIN
KITTANNING, PA 16201
KITTANNING, PA 16201
33aNPI1962997916assigned 06/22/2018
33bProvider typeFamily Medicine Physician
28Total paid$86K
24GClaims5,464
24DCodes billed14
24AFirst – last monthOct 2020 – Feb 2023
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#698 of 2,756
Median peer was paid$19K
This provider vs. median4.5×
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 | 416 | $6K | |
| 2021 | 2,279 | $24K | |
| 2022 | 2,409 | $39K | |
| 2023 | 360 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 59% | 835 | 781 | $51K |
| 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 | 21% | 441 | 436 | $18K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 531 | 511 | $12K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 2.7% | 69 | 68 | $2K |
| 87428 | 1.8% | 65 | 65 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 119 | 118 | $2K |
| 1159F | 0% | 726 | 682 | $0.00 | |
| 1160F | 0% | 724 | 680 | $0.00 | |
| 3078F | 0% | 191 | 183 | $0.00 | |
| 3725F | 0% | 320 | 318 | $0.00 | |
| 3074F | 0% | 403 | 387 | $0.00 | |
| 3008F | 0% | 677 | 638 | $0.00 |
2 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.