Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidShawn Nelson Schmitt
    Ask Trek AI about this page

    Shawn Nelson Schmitt — Billing Profile & Reimbursement Data

    NPI 1184071375 · Washington, DC · Clinical Neuropsychologist

    Customize your policy alerts

    Sign up for Shawn Nelson Schmitt — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Shawn Nelson Schmitt is a clinical neuropsychologist provider located in Washington, District of Columbia. This profile covers 5 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationShawn Nelson Schmitt
    Address2021 K St Nw Ste 210
    CityWashington
    StateDC
    ZIP20006
    TaxonomyClinical Neuropsychologist
    NPI EnumeratedMay 18, 2016

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

    Payer SourceTotal Paid
    Medicare$75.6K
    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    96133The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…330$90$27.7K
    96132The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…170$110$17.7K
    96116A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…170$80$13.3K
    96137Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…300$40$10.6K
    96136The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…160$40$6.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9613311060$80$9.6K
    9613211040$110$5.7K
    96137110100$30$4.8K
    9611611040$80$4.4K
    9613611050$30$1.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shannon ClinicTXFamily Medicine Physician$0$26.2M
    Straight Line ArlaTXPsychiatry Physician$242.4K$1M
    Steven RitterTXMOHS-Micrographic Surgery Physician$919.4K$0
    Luis DuarteTXNeurological Surgery Physician$584.8K$0
    Nabil AltememiMDSleep Medicine (Psychiatry & Neurology) Physician$566.3K$0
    Sujoy GillVAPulmonary Disease Physician$564.5K$0
    Syed AkbarILDiagnostic Radiology Physician$280.8K$223.7K
    Brian BradleyTXUrology Physician$480.8K$0
    Daniel LucasAZDiagnostic Radiology Physician$298.3K$164.6K
    Kamiar MassrourAZDiagnostic Radiology Physician$211.3K$227.7K

    Nearby Providers

    Other providers in the same ZIP code as Shawn Nelson Schmitt, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Capitol View Home Healthcare AgencyDCRespite Care$0$26.2M
    Amazing Grace Supports IncDCIn Home Supportive Care Agency$0$20.2M
    Mba Non Profit Solutions, LLCDCDevelopmentally Disabled Services Day Training Agency$0$3.4M
    Premier Support Services IncDCCase Management Agency$0$2.9M
    Hamid SaranjamDCOrthodontics and Dentofacial Orthopedics Dentistry$0$1.8M
    District Endodontics PLLCDCEndodontics$0$1.8M
    Kerman Dental LLCDCGeneral Practice Dentistry$0$1.4M
    Lifetree Health, IncDCPrimary Care Clinic/Center$0$1.2M
    Kaveh ZandDCEndodontics$0$1M
    Limitless Possibilities, LLC.DCMental Health Counselor$0$741.8K

    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. District of Columbia Distribution
    Shawn Nelson Schmitt — 5 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia