BRANDON COBY SMITH, AANP, FNP-C, ENP-C
NPI 1639746001, individual, Sumrall, MS, Nurse Practitioner, Family
- Medicaid dollars per patient on code 99213 ($134 per patient-month) sit in the top 5% of every provider billing that code.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BRANDON COBY SMITH, AANP, FNP-C, ENP-C |
| Type | Individual |
| Status | Active |
| NPI issued | June 5, 2021, last updated June 5, 2021 |
| Practice location | 4 E SYCAMORE, Sumrall, MS 39482-5503, 662-310-3788 |
| Specialties | Nurse Practitioner, Family (363LF0000X, primary, license 904560 MS) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $352K | 95% | $134 | $44 (top 5% from $110) | 97th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $19K | 5% | $103 | $67 (top 5% from $121) | 89th percentile | |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | $572 | 0% | $3.45 | $32 (top 5% from $49) | 9th percentile | |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | $0 | 0% | $0.00 | $12 (top 5% from $18) | too few months to rank | |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | $0 | 0% | $0.00 | $22 (top 5% from $33) | too few months to rank |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 51 | 45 | $2K | $54 | $35 | 1.6x | 2.8x (90th percentile 4.4x) |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 22 | 20 | $357 | $25 | $16 | 1.5x | 2.5x (90th percentile 3.9x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
2 providers in Lamar County, MS carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | WESLEY HEALTH SYSTEM LLC Hattiesburg, MS, ranked 3724 | $0 |
|
| 3 | HATTIESBURG HOME CARE SERVICES LLC Hattiesburg, MS, ranked 7042 | $0 |
|
Recent enforcement in MS
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Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.