Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Versailles › NPI 1992749873
Physician

Smith, Brian

Smith, Brian was paid $3.19M by Medicaid between Jan 2018 and Nov 2024, across 86 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoSMITH, BRIAN
VERSAILLES, KY 40383
33aNPI1992749873assigned 06/15/2006
33bProvider typeEmergency Medicine Physician
28Total paid$3.19M
24GClaims120,324
24DCodes billed86
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Kentucky

Rank by total paid#11 of 91
Median peer was paid$34K
This provider vs. median94×

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$25K$50K$75K2018201920202021202220232024
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
201819,855$526K
201920,567$595K
202017,866$528K
202117,907$567K
202217,672$425K
202315,119$341K
2024incomplete11,338$208K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 49% 43,468 36,547 $1.57M
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% 14,274 12,668 $669K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 5.6% 2,003 1,929 $178K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.9% 1,347 1,292 $94K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2.7% 1,107 1,072 $86K
99349 2.2% 2,521 1,286 $71K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.2% 5,162 3,239 $69K
80305 1.9% 5,896 4,998 $61K
36415 Collection of venous blood by venipuncture 1.7% 19,556 17,668 $54K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.6% 3,572 1,690 $52K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.0% 377 365 $32K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,147 2,040 $30K
74 more codes
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 359 $28K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 177 $24K
99350 Prolong home eval add 15m <1% 424 $19K
99490 Ccm add 20min <1% 1,803 $18K
93000 <1% 812 $14K
99204 Doctor's office visit, new patient (more involved) <1% 126 $13K
99348 <1% 1,125 $13K
87428 <1% 296 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 730 $11K
90688 <1% 684 $9K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 110 $9K
99442 <1% 211 $7K
99406 <1% 862 $7K
99487 Ccm add 20min <1% 253 $5K
95923 <1% 78 $3K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 1,811 $3K
90686 <1% 174 $3K
99344 <1% 25 $2K
0513F <1% 128 $2K
95921 <1% 78 $2K
81025 <1% 243 $2K
93923 <1% 79 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 26 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 33 $2K
83014 <1% 182 $1K
99386 <1% 13 $1K
99443 <1% 28 $1K
99051 <1% 73 $978.00
99385 <1% 12 $968.82
99439 <1% 93 $849.34
81003 <1% 900 $810.22
0011A <1% 34 $760.02
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 14 $760.02
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 30 $757.70
99347 <1% 83 $616.72
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 210 $527.02
0064A <1% 13 $400.00
J1030 Injection, methylprednisolone acetate, 40 mg <1% 55 $313.27
94010 <1% 13 $248.32
93040 <1% 38 $237.17
99407 <1% 25 $229.90
99308 Subsequent nursing facility care, per day, straightforward <1% 14 $225.97
20610 <1% 13 $207.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 458 $139.33
3044F <1% 116 $120.49
94761 <1% 38 $100.00
90694 <1% 29 $91.35
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). <1% 12 $47.95
90653 <1% 23 $46.20
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 111 $13.50
G0444 Annual depression screening, 5 to 15 minutes <1% 89 $11.25
G0008 Administration of influenza virus vaccine <1% 208 $8.59
3074F <1% 566 $1.39
3079F <1% 289 $0.92
3078F <1% 256 $0.55
3077F <1% 129 $0.38
3080F <1% 103 $0.31
3075F <1% 16 $0.08
1160F <1% 1,631 $0.02
1159F <1% 1,629 $0.01
1036F 0% 277 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 13 $0.00
3008F 0% 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 13 $0.00
1125F 0% 20 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 26 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 25 $0.00
4010F 0% 17 $0.00
91301 0% 30 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 50 $0.00
4004F 0% 89 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 90 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 27 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 12 $0.00

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.