Providers
HUGH ANTHONY SMITH, M.D.
NPI 1821484510, individual, Charleston, WV, Urology
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since January 7, 2021.
- Medicaid still paid claims in 5 later months, $6,083 in total.
score 94 of 100, rank 314, $6K at stake
Public list actions
Medicare revocation effective January 7, 2021, barred from re-enrolling until January 7, 2031
424.535(a)(3) felonies, Order And Referring Only - General Surgery, TN
Medicare revocation effective July 8, 2021, barred from re-enrolling until October 6, 2032
424.535(a)(4) false or misleading information and 424.535(a)(3) felonies, Order And Referring Only - Urology, WV
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(3) felonies | Exact NPI, name verified | Jan 7, 2021 | Jan 7, 2031 | 5 | Feb 2021 | Nov 2022 | $6K | $0 |
| Medicare revocation list 424.535(a)(4) false or misleading information and 424.535(a)(3) felonies | Exact NPI, name verified | Jul 8, 2021 | Oct 6, 2032 | 2 | Oct 2022 | Nov 2022 | $4K | $2K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | HUGH ANTHONY SMITH, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | April 9, 2015, last updated April 29, 2022 |
| Practice location | 470 SILVER MAPLE RDG APT 10, Charleston, WV 25306-1147, 304-388-5432 |
| Specialties | Urology (208800000X, primary, license 60441 TN) |
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.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | $2K | 35% | $35 | $44 (top 5% from $70) | too few months to rank | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $1K | 22% | $32 | $67 (top 5% from $121) | too few months to rank | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $1K | 19% | $51 | $95 (top 5% from $171) | too few months to rank | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $533 | 9% | $44 | $60 (top 5% from $133) | too few months to rank | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $287 | 5% | $24 | $44 (top 5% from $110) | too few months to rank | |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | $263 | 4% | $20 | $71 (top 5% from $112) | too few months to rank | |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | $234 | 4% | $14 | $30 (top 5% from $48) | too few months to rank | |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | $197 | 3% | $14 | $22 (top 5% from $33) | too few months to rank |
In this area
7 providers in Kanawha County, WV carry an indicator in the public record, with $4.4M at stake between them. The most common is more hours than a day holds, on 5 of them, followed by named in an enforcement record on 2. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | SHAWN BLANKENSHIP Charleston, WV, ranked 289 | $0 |
|
| 1 | HOLISTIC, INC Charleston, WV, ranked 557 | $0 |
|
| 3 | HARRELL NURSING HOME Charleston, WV, ranked 2693 | $0 |
|
| 4 | MOHAMAD KALOU Charleston, WV, ranked 7525 | $3.4M |
|
| 5 | NITIN SANGRAMPURKAR Charleston, WV, ranked 10478 | $72K |
|
| 5 | SAMANTHA SHAWVER Charleston, WV, ranked 11091 | $825K | |
| 5 | JENNIFER PRICE Charleston, WV, ranked 11891 | $17K |
Recent enforcement in WV
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementJun 23, 2026
Northern District of West Virginia Part of National Health Care Fraud Takedown Resulting in 455 Defendants Charged in Connection with Over $6.5 Billion in Alleged Fraud
Two providers reached civil settlements resolving allegations that they used pre-signed, invalid prescriptions issued outside the usual course of their professional practice to patients in West Virginia while traveling and not in close proximity to their offices, and in one case submitted claims to Medicare and Medicaid during that time.
DOJComplaint filedJun 23, 2026
U.S. Attorney Moore Capito Announces Fraud Conspiracy Charges Against Sober Living Home Founder and Spouse
Two individuals affiliated with a sober living recovery program allegedly conspired to falsify and submit timesheets to a testing laboratory for drug testing work not performed, and the laboratory paid the billings and obtained reimbursement from federal and state healthcare programs; separately, a sleep laboratory paid $120,000 to resolve allegations it billed Medicaid and the VA Community Health program for sleep studies and polysomnogram reports prepared and signed by unqualified, non-physician staff.
DOJPleaded guiltyJun 17, 2026
Mercer County Woman Pleads Guilty to $175,731.31 Fraud Scheme Targeting Federal Veterans Health Care Benefits
Radford, an owner of Healthcare Therapy Services LLC doing business as Medical Massage Therapy, submitted false bills to CHAMPVA for massage services not rendered, stealing $175,731.31.
DOJCivil settlementMar 5, 2026
Laboratory Agrees to Pay More than $200,000 for Improper Billing to West Virginia Medicaid Program
Integra repeatedly submitted billings to the West Virginia Medicaid program for medically unnecessary testing ordered by medical providers over a two-year period, specifically improper claims for specimen validity testing that were not allowable.
DOJCivil settlementApr 2, 2025
Beckley Medical Clinic and Physician Agree to Pay $152,382.70 to Resolve False Claims Act Allegations
Med-Surg and its owner submitted claims to Medicare and Medicaid using HCPCS code Q3014 for the telehealth originating site facility fee for telehealth visits where the patient was at home, which is not payable.
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.