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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJerrold Schwartz
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    Jerrold Schwartz — Billing Profile & Reimbursement Data

    NPI 1215977806 · Spring Valley, NY · Internal Medicine Physician

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    Jerrold Schwartz is a internal medicine physician provider located in Spring Valley, New York. This profile covers 7 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
    OrganizationJerrold Schwartz
    Address728 N Main St
    CitySpring Valley
    StateNY
    ZIP10977
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 8, 2006

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

    Payer SourceTotal Paid
    Medicare$51.6K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established 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…410$70$26.9K
    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…120$100$12.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit40$140$6.2K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…20$160$2.8K
    99234The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…30$80$2.2K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.10$80$1K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…40$10$500

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921412,79130,45090$100$19K
    432391,2211,29050$180$14.2K
    992133,25531,44080$70$12.1K
    G04393,5936,29050$130$11.2K
    4537846669020$230$8.3K
    9923482030$80$3.6K
    930003,8786,62060$10$2.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Refuah Health Center IncNYFederally Qualified Health Center (FQHC)$0$115.1M
    Middletown Medical PCNYEmergency Medicine Physician$0$49.3M
    Edward BennettNYInternal Medicine Physician$152.7K$6.7M
    Neville GlajchenNYDiagnostic Radiology Physician$837.5K$0
    Azriel HirschfeldNYHematology & Oncology Physician$589.5K$8.6K
    Daria SetlikNYDiagnostic Radiology Physician$540.2K$1.5K
    Aton HolzerDEMOHS-Micrographic Surgery Physician$492.7K$0
    Mathew WilliamsNYThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$403.1K$8.2K
    Faisal NagarwalaNJFamily Medicine Physician$408.5K$0
    Anand KakkanattNYDiagnostic Radiology Physician$398.2K$6.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hamaspik Care, Inc.NYHome Health Agency$0$274.1M
    Marquis Home Care, LLCNYHome Health Agency$0$146.8M
    Yedei Chesed IncNYChild Intellectual and/or Developmental Disabilities Respite Care$0$25.5M
    Spring Hill Comm Ambulance CoNYAmbulance$719K$3.1M
    Vikram ShahNYInternal Medicine Physician$830.8K$131.3K
    Juan EspaillatNYGeneral Practice Dentistry$188.1K$245.9K
    Mitchell TrestmanNYPhysical Therapist$338.3K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    Jerrold Schwartz — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York