Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 2 | 48 | 62 | $11,709 | $3,704 |
| 2022 | 5 | 75 | 109 | $22,225 | $6,579 |
| 2021 | 2 | 52 | 65 | $13,473 | $3,960 |
| 2020 | 2 | 50 | 73 | $18,189 | $4,839 |
All Medicare Procedures & Services
11 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 31 | 40 | $8,609 | $2,739 | 31.8% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 17 | 22 | $3,100 | $964.44 | 31.1% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 26 | 32 | $7,476 | $1,953 | 26.1% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 16 | 34 | $5,338 | $1,878 | 35.2% |
| 99233 | Follow-up hospital inpatient care per day, typically 35 minutes | Facility | 2022 | 11 | 21 | $4,767 | $1,575 | 33.0% |
| 99221 | Initial hospital inpatient care per day, typically 30 minutes | Facility | 2022 | 11 | 11 | $2,871 | $708.29 | 24.7% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 11 | 11 | $1,773 | $463.84 | 26.2% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 37 | 49 | $11,025 | $3,228 | 29.3% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 15 | 16 | $2,448 | $732.20 | 29.9% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Office | 2020 | 38 | 61 | $13,725 | $3,686 | 26.9% |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | Office | 2020 | 12 | 12 | $4,464 | $1,153 | 25.8% |
About Dr. Wilburn Smith, MD
Dr. Wilburn Smith, MD is a Pediatric Endocrinology healthcare provider based in Lexington, Kentucky. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 01/23/2007. The National Provider Identifier (NPI) number assigned to this provider is 1023162492.
As a Medicare-enrolled provider, Smith has provided services to 225 Medicare beneficiaries, totaling 309 services with total Medicare billing of $19,082. Data is available for 4 years (2020–2023), covering 11 distinct procedure/service records.
Practice Information
- Specialty Pediatric Endocrinology
- Location Lexington, KY
- Active Since 01/23/2007
- Last Updated 04/17/2008
- Taxonomy Code 2080P0205X
- Entity Type Individual
- NPI Number 1023162492
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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