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

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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.

Diana Schmitz (NPI 1275078149)

Field	Value
Entity Type	Individual
Organization	Diana Schmitz
Address	2360 N Horizon Ridge Parkway
City	Henderson
State	XX (Unspecified Location)
ZIP	89052
Taxonomy	Clinical Social Worker
NPI Enumerated	December 30, 2016

Payer Source	Total Paid
Medicare	$23.4K
Medicaid	$0

Key Findings

The provider’s billed services are concentrated in psychotherapy and initial psychiatric evaluation codes, consistent with the listed taxonomy of Clinical Social Worker; 90837 (psychotherapy, 53+ minutes) and 90791 (psychiatric evaluation) are the only Medicare codes reported as revenue drivers. This code mix indicates an outpatient psychotherapy-focused practice model rather than procedural or durable medical equipment services.

Revenue is highly concentrated in a single service line: the precomputed top 3 Medicare codes account for 100.0% of this provider’s Medicare revenue, with 90837 representing 94.2% and 90791 representing 5.8% of the Medicare revenue mix. That concentration signals reliance on long psychotherapy sessions as the primary revenue source.

Scale of Medicare activity is small in absolute terms: Total Medicare revenue is $23.4K while Total Medicaid revenue is none (no Medicaid billing on file), so the provider effectively operates as a Medicare-only biller on file. The absence of any Medicaid billing on file indicates a single-payer footprint in available claims data rather than a mixed payer panel.

Detailed code-level volumes and reimbursements confirm the psychotherapy focus: 90837 shows 281 claims at $79 avg paid/claim generating $22.2K revenue, while 90791 shows 15 claims at $91 avg paid/claim generating $1.4K revenue. The claim counts and revenues show 90837 dominates both utilization and dollars for this provider.

Competitive standing for the primary psychotherapy code is modest: 90837 ranks #4255 of 15257 providers nationally (72th percentile; typical, unremarkable volume for this code), which the file labels as typical and unremarkable rather than dominant. The psychiatric evaluation code 90791 ranks #7750 of 11185 providers nationally (26th percentile; typical, unremarkable volume for this code), placing the provider below median national activity for that service.

Average paid-per-claim differs between the two reported codes, with 90791 at $91 avg paid/claim versus 90837 at $79 avg paid/claim; despite a higher per-claim payment for evaluations, revenue and utilization are overwhelmingly driven by psychotherapy sessions. This pattern suggests revenue growth for the provider would most likely come from increasing high-duration psychotherapy sessions rather than evaluation volume.

The provider’s enrollment date is listed as 2016-12-30 (~10 years ago), indicating a multi-year presence in Medicare billing records. Given the limited revenue total ($23.4K) over that tenure, the practice’s Medicare engagement appears steady but low-volume rather than rapidly scaling.

Neither of the reported Medicare codes is flagged as an outlier in the supplied labels; both are described as 'typical, unremarkable volume for this code,' so there is no signal in these data of unusually high or anomalous billing patterns relative to national peers. This supports a neutral interpretation of utilization relative to comparable providers for the reported services.

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	280	$80	$22.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	20	$90	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Diana Schmitz — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	2	10	290	$80	$24.2K
90791	2	10	20	$120	$2.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Timothy Hutchinson	GA	Mental Health Counselor	$0	$1.4M
Christopher Norris	GA	Professional Counselor	$0	$962.1K
Thadeus Holloway	GA	Professional Counselor	$0	$939.1K
Jamey Ivey	MT	Professional Counselor	$0	$451.1K
Debra Hallstrom	NE	Mental Health Counselor	$0	$230.3K
Hildegard Hyde	VT	Mental Health Counselor	$0	$227.5K
Donna Gettle -briggs	MT	Professional Counselor	$0	$221.7K
Stephanie Abel	GA	Psychiatric/Mental Health Nurse Practitioner	$3.4K	$202K
Donald Cassidy	MD	Clinical Psychologist	$189.6K	$0
Patrick Gordon	IL	Clinical Psychologist	$184.6K	$0

Diana Schmitz — Billing Profile & Reimbursement Data

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Diana Schmitz — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References