ERIC SMITH, DO
Internal Medicine Physician · CLARKS SUMMIT, PA
Individual Active NPI 1295736742
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 653 | 2,000 | $439,797 | $196,098 | $146,977 |
| 2023 | 591 | 2,114 | $432,919 | $196,814 | $141,102 |
| 2022 | 555 | 1,982 | $348,553 | $187,609 | $124,674 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 428 | $85 | $49 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 358 | $120 | $77 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 347 | $123 | $123 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 199 | $72 | $58 |
| 99238 | Hospital discharge day management, 30 minutes or less | 74 | $77 | $61 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 70 | $160 | $127 |
| G0008 | Administration of influenza virus vaccine | 47 | $31 | $31 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 45 | $47 | $37 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 44 | $50 | $36 |
| 99496 | Transitional care management services for problem of high complexity | 34 | $264 | $203 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 33 | $121 | $68 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 29 | $39 | $23 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | OS 012156 | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.