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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJack Schim
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    Jack Schim — Billing Profile & Reimbursement Data

    NPI 1346276375 · Carlsbad, CA · Neurology Physician

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    Jack Schim is a neurology physician provider located in Carlsbad, California. This profile covers 17 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJack Schim
    Address6010 Hidden Valley Rd Ste 200
    CityCarlsbad
    StateCA
    ZIP92011
    TaxonomyNeurology Physician
    NPI EnumeratedJune 23, 2006

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$101.4K

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0585Injection, onabotulinumtoxina, 1 unit211,670$10$1.1M
    64615The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…650$130$82.2K
    64616The provider administers a chemical compound to the neck muscles on one side, avoiding the laryngeal muscles. The goal of this procedure is to paralyze the muscles. Providers may treat cervical…150$150$22.1K
    95874In this add–on procedure, the provider uses needle electromyography guidance for a chemodenervation injection. Chemodenervation is a process of injecting a neurotoxin like ethyl alcohol or Botox®…250$70$17.4K
    64644The provider injects a chemical, such as Botox®, into 5 or more muscles of one extremity to relieve a patient's pain and spasms.80$150$12.7K
    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…130$100$12.3K
    64612In this procedure, the provider injects a chemical on one side of the face to disable the facial nerve and relieve painful facial nerve disorders or abnormal involuntary movements of facial muscles.60$180$10.8K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…170$50$8.4K
    99215The 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…60$140$8K
    64400The provider injects an anesthetic agent and/or steroid close to each branch of fifth cranial nerve, also called the trigeminal nerve, a mixed cranial nerve that is composed of three large branches —…30$140$4.2K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J058524007,640$1$86K
    994905951,060210$50$25.8K
    9921418,09437,970120$90$23.2K
    64615322060$120$14.5K
    992156,83115,36050$130$14.4K
    9921323,77534,66080$70$13.2K
    6461687050$140$10K
    64400131070$90$9.8K
    64612309050$140$8.8K
    6464443050$130$8.2K

    Showing 1–10 of 17

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0585Injection, onabotulinumtoxina, 1 unit110$870$93.4K
    64615The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…60$140$7.9K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0585Injection, onabotulinumtoxina, 1 unit72110260$590$407.4K
    64615The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…5690140$90$47.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Harbinder BrarCAMaternal & Fetal Medicine Physician$0$31.3M
    Johnson LeeCAPlastic Surgery Physician$22.5M$0
    Jack AzadCAGeneral Practice Physician$17.2M$0
    Nikolas LondonCAOphthalmology Physician$6.4M$0
    Huan LeCAPulmonary Disease Physician$335.6K$4.6M
    Ash PirouzCARetina Specialist (Ophthalmology) Physician$3.1M$1.3M
    Kishore SehgalCAHematology & Oncology Physician$4.1M$0
    Atul JainCAOphthalmology Physician$3.5M$0
    Edward McclayCAMedical Oncology Physician$3.4M$0
    Daniel TaheriCADermatology Physician$3.3M$7.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sottek Trippe Enterprise, LLCCAAmbulance$2.2M$3.3M
    Irene OhCANeurology Physician$703.1K$0
    Brian BigoniCADiagnostic Radiology Physician$399.4K$0
    Sandip MadhavCAPain Medicine (Physical Medicine & Rehabilitation) Physician$335.7K$0
    Bilal ChoudryCANeurology Physician$260.7K$0
    Norman KaneCAOrthopaedic Surgery Physician$109.6K$0
    Lori AlasantroCAClinical Neuropsychologist$106.4K$0
    Michael TracyCAOphthalmology Physician$103.5K$0
    Jay RosenCAClinical Neuropsychologist$95.2K$0
    Hernan GoldszteinCAOtology & Neurotology Physician$91.1K$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.

    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. California Distribution
    Jack Schim — 3 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Jack Schim — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California