CAROLE SMARTH, M.D.
Internal Medicine Physician · LEESBURG, VA
Individual Active NPI 1558391615
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 301 | 1,704 | $311,144 | $149,310 | $118,701 |
| 2023 | 320 | 1,398.5 | $299,279 | $148,295 | $123,084 |
| 2022 | 308 | 1,350 | $259,273 | $136,209 | $108,346 |
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 | 374 | $124 | $84 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 290 | $61 | $47 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 155 | $175 | $130 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 153 | $16 | $13 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 125 | $47 | $35 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 95 | $127 | $127 |
| G0008 | Administration of influenza virus vaccine | 50 | $31 | $31 |
| G0009 | Administration of pneumococcal vaccine | 49 | $31 | $31 |
| 90662 | Influenza vaccine split virus, preservative free | 49 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 48 | $283 | $283 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 35 | $87 | $56 |
| 81003 | Automated urinalysis test | 34 | $2 | $2 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | 0101243111 | VA |
| Pediatrics Physician | 208000000X | 0101243111 | VA | |
| Infectious Disease Physician | 207RI0200X | 0101243111 | VA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Internal Medicine Physician providers in Virginia
- NPI 1285138792
- NPI 1740259340
- NPI 1508607722
- NPI 1255328910
- NPI 1174826887
- NPI 1649662339
- NPI 1962463448
- NPI 1730414152
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.