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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMatthew Schaeffer
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    Matthew Schaeffer — Billing Profile & Reimbursement Data

    NPI 1013956507 · West Chester, PA · Specialist

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    Matthew Schaeffer is a specialist provider located in West Chester, Pennsylvania. This profile covers 22 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMatthew Schaeffer
    Address915 Old Fern Hill Rd Ste 1
    CityWest Chester
    StatePA
    ZIP19380
    TaxonomySpecialist
    NPI EnumeratedJune 6, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$185K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…420$100$42.4K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).240$140$32.4K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…190$90$16.7K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.80$220$16.7K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…100$160$15.2K
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…90$140$12.6K
    72110In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.190$40$7.9K
    64494In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…90$80$7.6K
    64484This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level…100$50$4.9K
    64636In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…70$70$4.8K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    644832934060$190$18.6K
    646353123030$360$16.1K
    992142,52423,230100$80$14.5K
    644934633040$170$11K
    9921311,48722,37070$60$7.7K
    206101,5561,98060$50$6.7K
    992044,30210,29030$110$5K
    646362417030$120$5K
    270962325030$100$4.4K
    644942626040$70$3.8K

    Showing 1–10 of 22

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Matthew Schaeffer, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Premier Orthopaedic And Sports Medicine Associates, LtdPAOrthopaedic Surgery Physician$0$7.1M
    Jennifer Kwan-morleyPARheumatology Physician$2.5M$0
    Michael ShriverOHDiagnostic Radiology Physician$1.1M$0
    Stephanie MorrisPARheumatology Physician$742.6K$0
    Stephen PomeranzOHDiagnostic Radiology Physician$642.3K$0
    Cheston SimmonsPAOrthopaedic Surgery Physician$570.3K$0
    Nikos PavlidesPAOrthopaedic Surgery Physician$448.3K$0
    Larry ChouPAPhysical Medicine & Rehabilitation Physician$444.8K$0
    Andrew OldPAOrthopaedic Surgery Physician$420.7K$0
    Kevin WalshPASports Medicine (Family Medicine) Physician$336.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Matthew Schaeffer, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Theraplay, LLCPAOccupational Therapist$0$38.5M
    The Devereux FoundationPAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$29.7M
    County Of ChesterPACase Management Agency$0$19.5M
    Chester County HospitalPAGeneral Acute Care Hospital$410$10.2M
    Bruce SaranPAOphthalmology Physician$2.9M$0
    Michael WardPAOphthalmology Physician$2.7M$0
    Muve - West Chester Ambulatory Surgical Center, LLCPAAmbulatory Surgical Clinic/Center$2.4M$0
    Michael RosenPAInternal Medicine Physician$1.5M$0
    West Chester Endoscopy LLCPAEndoscopy Clinic/Center$1.3M$0
    Good Fellowship Club Of Chester County, Inc.PALand Ambulance$591.2K$585K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Matthew Schaeffer — 3 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania