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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJoseph Schmoker
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    Joseph Schmoker — Billing Profile & Reimbursement Data

    NPI 1184645236 · Missoula, MT · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

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    Joseph Schmoker is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Missoula, Montana. This profile covers 12 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
    OrganizationJoseph Schmoker
    Address500 W Broadway St Ste 320
    CityMissoula
    StateMT
    ZIP59802
    TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    NPI EnumeratedJuly 22, 2006

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

    Payer SourceTotal Paid
    Medicare$159.1K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33427The provider performs a valvuloplasty, which is a surgical repair of the mitral valve or subvalvular structures to correct mitral stenosis or subvalvular fibrosis with the patient on a heart–lung…20$1,830$43.8K
    33405The provider replaces the aortic valve with an artificial valve (but not a homograft or ventless valve) via open access with the patient on cardiopulmonary bypass. She performs this procedure to…20$1,430$30K
    33534The provider diverts blood flow from damaged vessels in the heart by grafting in two arterial segments from another location, such as in the chest or abdomen, to restore circulation, improve the…20$1,630$26K
    33533Coronary artery bypass, using arterial graft(s); single arterial graft20$1,080$21.6K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…100$180$17.5K
    33530The provider repeats a coronary artery bypass grafting procedure or valve procedure more than one month after the original surgery primarily due to failure of the original procedure.20$420$6.2K
    33518The provider diverts blood flow from damaged vessels in the heart by grafting two vein segments taken from another location, such as the leg, while the patient is undergoing a coronary artery bypass…10$330$4.2K
    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…40$90$3.4K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…60$40$2.3K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…10$140$1.9K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3342711020$1,830$43.8K
    3353421020$1,480$22.2K
    3340511020$910$16.4K
    3353351020$780$14.8K
    9922334141030$130$7K
    3353011020$420$6.2K
    992051230030$140$5.2K
    9920474778030$100$4.8K
    3351831010$300$4K
    9920328370030$70$3.1K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    PeacehealthWAGeneral Acute Care Hospital$0$81.6M
    Sanford Medical Center FargoNDFamily Medicine Physician$0$75.9M
    Sanford Medical CenterSDFamily Medicine Physician$0$68.8M
    Sanford Medical Center FargoNDGeneral Acute Care Hospital$0$50.2M
    Sanford Health Of Northern MinnesotaMNRural Acute Care Hospital$0$47.6M
    PeacehealthWARural Acute Care Hospital$0$47.1M
    Benefis Hospitals IncMTMulti-Specialty Clinic/Center$0$38.2M
    West MontMTAdult Care Home Facility$0$34.7M
    PeacehealthAKCritical Access Hospital$0$34.3M
    Union Associated Physicians Clinic, LLCINFamily Medicine Physician$0$31.1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Consumer Direct District Of ColumbiaMTIn Home Supportive Care Agency$0$393.2M
    Youth HomesMTEmotionally Disturbed Childrens' Residential Treatment Facility$0$9.7M
    Western Montana Clinic PCMTMulti-Specialty Clinic/Center$0$8.7M
    Providence Health & Services MtMTEmergency Medicine Physician$0$8.2M
    Providence Health & Services MtMTFamily Medicine Physician$0$5.7M
    Providence Surgery CenterMTAmbulatory Surgical Clinic/Center$1.6M$3.5M
    Partnership For ChildrenMTEmotionally Disturbed Childrens' Residential Treatment Facility$0$4.7M
    Gary WingfieldMTAssisted Living Facility$0$4.7M
    Providence Health & Services MtMTGeneral Acute Care Hospital$0$2.4M
    Western Montana Clinic PCMTClinical Medical Laboratory$668.9K$1.7M

    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. Montana Distribution
    Joseph Schmoker — 2 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana