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 Nevada for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nevada 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. Nevada (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.

Susan Schwartz (NPI 1265411516)

Field	Value
Entity Type	Individual
Organization	Susan Schwartz
Address	8985 S Pecos Rd Ste 3b
City	Henderson
State	NV
ZIP	89074
Taxonomy	Otolaryngology/Facial Plastic Surgery Physician
NPI Enumerated	January 14, 2006

Payer Source	Total Paid
Medicare	$186.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

21 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…	600	$100	$56.8K
99204	The provider sees a new 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 provider…	280	$120	$31.9K
99213	The 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	$26.6K
93975	The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…	50	$200	$9.2K
92546	The provider measures various parameters of normal and pathological vestibular systems and also estimates the patient's visual acuity by checking the visual–vestibular interaction using sinusoidal…	90	$100	$8.9K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	230	$40	$8.1K
92540	The provider performs four specific tests, with recording, to check balance disorders. This code represents both the technical and professional components of the service.	90	$90	$7.6K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	240	$30	$6.6K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	40	$100	$4.5K
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.	50	$90	$4.2K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nevada Distribution

Susan Schwartz — 3 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	333	3,610	110	$80	$19K
99213	360	3,500	80	$60	$10K
92546	4	10	70	$100	$8.5K
93880	171	260	40	$110	$7K
31575	24	30	60	$90	$6.1K
99204	19	2,010	30	$110	$5.8K
92540	5	20	50	$80	$5.4K
93975	6	40	20	$160	$5.2K
94729	51	60	80	$30	$4.8K
99203	462	1,380	30	$70	$3.8K

Showing 1–10 of 21

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rbr Management LLC	NV	Ambulance	$4.1M	$21.6M
Karen Siran-loughery Otr/l Inc.	NV	Occupational Therapist	$0	$6.4M
Independence Lifestyles Inc	NV	In Home Supportive Care Agency	$0	$4.9M
Satish K Sharma Md PC	NV	Pain Medicine Physician	$0	$4.4M
Robert Toledo Do Ltd	NV	Family Medicine Physician	$0	$3.8M
Henderson Hospital	NV	Emergency Care Clinic/Center	$0	$2.7M
Aldis Therapy Services	NV	Clinical Social Worker	$0	$2.4M
Tri-star Pediatrics Services Co	NV	Pediatrics Physician	$0	$2.1M
Anthony Nguyen	NV	Hematology & Oncology Physician	$1.8M	$0
Nocturna Sleep Center, LLC	NV	Sleep Disorder Diagnostic Clinic/Center	$270.2K	$1.4M

Susan Schwartz — Billing Profile & Reimbursement Data

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Susan Schwartz — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References