CAROLE SMITH, MD
Family Medicine Physician · PEMBROKE, MA
Individual Active NPI 1023087566
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,247 | 2,029 | $878,690 | $202,183 | $144,991 |
| 2023 | 856 | 2,785 | $897,982 | $220,438 | $169,897 |
| 2022 | 713 | 2,730 | $726,622 | $188,378 | $152,368 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 898 | $130 | $91 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 275 | $182 | $134 |
| 81003 | Automated urinalysis test | 193 | $2 | $2 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 133 | $7 | $5 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 90 | $92 | $71 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 83 | $169 | $123 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 59 | $16 | $16 |
| 36415 | Insertion of needle into vein for collection of blood sample | 17 | $9 | $9 |
| 90471 | Administration of vaccine | 17 | $21 | $16 |
| 90715 | Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) | 17 | $38 | $28 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 16 | $224 | $161 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 12 | $114 | $79 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 220572 | MA |
| Family Medicine Physician | 207Q00000X | MD15209 | RI | |
| Family Medicine Physician | 207Q00000X | 282496 | NY | |
| Family Medicine Physician | 207Q00000X | MD20873 | ME |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Family Medicine Physician providers in Massachusetts →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.