Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New York (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Karen Schwartz (NPI 1225119241)

Field	Value
Entity Type	Individual
Organization	Karen Schwartz
Address	165 Froehlich Farm Blvd
City	Woodbury
State	NY
ZIP	11797
Taxonomy	Endocrinology, Diabetes & Metabolism Physician
NPI Enumerated	October 17, 2006

Payer Source	Total Paid
Medicare	$474.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	1,660	$110	$182.3K
76536	The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.	900	$100	$94K
99424	A physician or other qualified healthcare professional personally performs management and care plan services for a patient with a complex chronic condition, expected to last three months, which…	650	$70	$46.4K
77085	The provider measures the mineral density of the bones of the axial skeleton and assesses a vertebral fracture. He performs the procedure to assess the patient for the presence of osteoporosis or…	400	$60	$24.2K
J0897	Injection, denosumab, 1 mg	1,200	$20	$21.6K
99215	The provider sees an established 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…	140	$150	$20.8K
99205	The 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	$190	$19.5K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	160	$110	$18K
10005	Under ultrasound guidance, the provider performs a fine needle aspiration (FNA), a diagnostic procedure that involves collecting a specimen from tissue, a cyst, or mass using a specialized needle and…	50	$130	$6.6K
95251	A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…	190	$30	$5.6K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Karen Schwartz — 4 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	400	490	2,820	$20	$84.4K
99214	176	30,450	90	$100	$19K
99424	4	30	90	$70	$15K
99213	18,246	31,440	80	$70	$12.1K
99215	1,091	8,280	40	$140	$10.1K
95250	65	80	30	$140	$7.8K
99204	7,772	14,170	30	$130	$6.6K
99205	198	4,260	30	$180	$6.4K
76536	7	1,080	50	$70	$6.3K
76830	70	850	30	$90	$5.1K

Showing 1–10 of 24

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Of Dermatopathology Adx, LLC	NY	Dermatopathology (Pathology) Physician	$2.1M	$3.6M
Xuan Wang	NY	Anatomic Pathology Physician	$1.3M	$99K
Bruce Kappel	NY	Hematology & Oncology Physician	$744.1K	$200
Gaetano Pannella	NY	Cardiovascular Disease Physician	$651.6K	$10.5K
Timothy Tsang	NY	Orthopedic Physical Therapist	$650.9K	$0
Neeral Patel	NY	Cardiovascular Disease Physician	$613K	$27.5K
Daniel Wachsman	NY	Cardiovascular Disease Physician	$549.9K	$9.4K
Steven Savella	NY	Cardiovascular Disease Physician	$498.6K	$15.1K
Jeffrey Sklar	NY	Dermatology Physician	$469.5K	$0
Cheryl Daves	NY	Pain Medicine (Anesthesiology) Physician	$402.1K	$0

Karen Schwartz — Billing Profile & Reimbursement Data

Sign up for Karen Schwartz — Billing Profile & Reimbursement Data policy alerts

Karen Schwartz — Billing Profile & Reimbursement Data

Sign up for Karen Schwartz — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References