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

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

Richard Schultz (NPI 1386612935)

Field	Value
Entity Type	Individual
Organization	Richard Schultz
Address	1104 Cass St
City	Traverse City
State	MI
ZIP	49684
Taxonomy	Otolaryngology Physician
NPI Enumerated	March 9, 2006

Payer Source	Total Paid
Medicare	$67.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	360	$60	$22.7K
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…	110	$90	$10K
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.	210	$30	$6.8K
99203	The provider sees a new 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 provider…	90	$80	$6.6K
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…	50	$110	$6K
30801	In this procedure, the provider uses methods like bipolar cautery, reducing the tissue volume, radiofrequency, or somnoplasty to ablate the superficial area of the inferior turbinates.	30	$150	$4.8K
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.	50	$90	$4.6K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	20	$140	$2.2K
30901	The provider uses a simple or limited approach to stop a nosebleed caused by a vessel in the front area of the nose.	20	$110	$1.7K
92504	In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…	40	$20	$820

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Richard Schultz — 0 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6,235	15,470	80	$80	$11.4K
99213	975	14,810	60	$60	$6.6K
31231	134	160	30	$120	$5.8K
31575	103	240	40	$80	$4.5K
99204	1,327	6,280	30	$110	$4.2K
99203	505	4,560	30	$70	$3K
30801	3	10	30	$100	$3K
69210	21	360	40	$30	$2.1K
99212	1,496	2,750	30	$40	$2K
30901	10	20	20	$100	$1.8K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lori Lemonnier	MI	Otolaryngology Physician	$58K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northern Lakes Community Mental Health Authority	MI	Community/Behavioral Health Agency	$0	$148.6M
Munson Medical Center	MI	General Acute Care Hospital	$0	$44.1M
Northwestern Michigan Emergency Physicians PC	MI	Emergency Medicine Physician	$0	$7.5M
Grand Traverse Radiologists PC	MI	Diagnostic Radiology Physician	$0	$7.3M
Northern Michigan Pediatric Dentistry	MI	Dental Clinic/Center	$0	$7M
Grand Traverse Womens Clinic PLLC	MI	Obstetrics Physician	$0	$6.7M
Northern Lakes Community Mental Health Authority	MI	Case Management Agency	$0	$5.9M
Northwest Michigan Surgery Center LLC	MI	Ambulatory Surgical Clinic/Center	$2.9M	$1.5M
Alliance Surgery Center, LLC	MI	Ambulatory Surgical Clinic/Center	$3M	$0
Michael Mawby	MI	Rheumatology Physician	$628.2K	$0

Richard Schultz — Billing Profile & Reimbursement Data

Sign up for Richard Schultz — Billing Profile & Reimbursement Data policy alerts

Richard Schultz — Billing Profile & Reimbursement Data

Sign up for Richard Schultz — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References