RHONDA ELLENA SMITH, MD
NPI 1992808109, individual, Bountiful, UT, Family Medicine
- Medicaid dollars per patient on code 96372 ($1014 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 | RHONDA ELLENA SMITH, MD |
| Type | Individual |
| Status | Active |
| NPI issued | September 6, 2006, last updated May 29, 2018 |
| Practice location | 390 N MAIN ST, Bountiful, UT 84010, 801-294-1000 |
| Mailing address | PO BOX 27128, Salt Lake City, UT 84127-0128 |
| Specialties | Family Medicine (207Q00000X, primary, license 282162-1205 UT) |
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 | |
|---|---|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $519K | 32% | $1K | $16 (top 5% from $128) | 100th percentile | |
| 90853 | Group psychotherapyhistory of abuse | $298K | 18% | $5K | $60 (top 5% from $332) | too few months to rank | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $223K | 14% | $925 | $28 (top 5% from $147) | 100th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $216K | 13% | $543 | $60 (top 5% from $133) | 100th percentile | |
| 96372 | Injection of drug or substance under skin or into muscle | $172K | 11% | $731 | $12 (top 5% from $49) | 100th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $107K | 7% | $625 | $44 (top 5% from $110) | 100th percentile | |
| 86318 | Test for detection of infectious agent antibody, qualitative or semiquantitative | $76K | 5% | $697 | $12 (top 5% from $21) | too few months to rank | |
| 86580 | Skin test for tuberculosis | $2K | 0% | $126 | $4.83 (top 5% from $10) | too few months to rank |
In this area
4 providers in Davis County, UT carry an indicator in the public record, with $970K at stake between them. The most common is more hours than a day holds, on 2 of them, followed by part of a provider network on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 2 | CASEY STELTER Layton, UT, ranked 748 | $30K |
|
| 3 | LEGACY HEALTH CARE INC Layton, UT, ranked 2199 | $0 |
|
| 3 | LEGACY HEALTH CARE, INC. Layton, UT, ranked 5768 | $0 |
|
| 4 | PAUL FLACK Woods Cross, UT, ranked 7844 | $940K |
|
Recent enforcement in UT
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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.