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    OpenPayerNPI Medicare & MedicaidKeith Schmidt
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    Keith Schmidt — Billing Profile & Reimbursement Data

    NPI 1407162746 · Hoffman Estates, IL · Pain Medicine Physician

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    Keith Schmidt is a pain medicine physician provider located in Hoffman Estates, Illinois. This profile covers 13 Medicare and 6 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
    OrganizationKeith Schmidt
    Address1555 Barrington Rd Ste 2400
    CityHoffman Estates
    StateIL
    ZIP60169
    TaxonomyPain Medicine Physician
    NPI EnumeratedAugust 24, 2010

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

    Payer SourceTotal Paid
    Medicaid$222.2K
    Medicare$105.7K

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…520$90$48.2K
    99205The 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…110$170$18.9K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…140$80$10.8K
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.40$260$9.3K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…80$60$5.1K
    62321The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…40$90$3.3K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.20$190$3K
    63685The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection…20$180$2.9K
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…50$20$1.2K
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…100$10$950

    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

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    63685174020$7,500$135.1K
    63650254040$1,760$84.4K
    992141,68818,540110$80$17.1K
    6463516118030$350$17K
    623236127060$160$15.7K
    7700225533030$80$12.9K
    2061117839080$80$12.2K
    623215616030$150$6.3K
    99205822,73030$160$5.7K
    205539913040$40$2.8K

    Showing 1–10 of 13

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…3,530$50$169.5K
    99205The 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…270$70$17.8K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…310$50$15.4K
    99213The 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…550$30$13.8K
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…730$10$5.1K
    99401At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…40$30$1.2K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Illinois median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…78314,680300$50$48.7K
    99213The 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…5,32814,190280$20$38.9K
    99401At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…109130440$20$25.7K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…105040$60$13.6K
    99205The 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…2233030$120$12.9K
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…1223050$10$980

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$122.4M
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$12.6M
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$11.9M
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$11.7M
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$10.8M
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$9.6M
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$9.3M
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$9.3M
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$9.2M
    Sally Campbell-leeILClinical Pathology Physician$0$8.7M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bvm Healthcare IncILDurable Medical Equipment & Medical Supplies$0$17.3M
    Medex Medical Supplies IncILClinical Medical Laboratory$372.8K$9.9M
    Michael AppiagyeiILInternal Medicine Physician$52.7K$5.1M
    Home Life Healthcare, Corp.ILHome Health Agency$0$3.4M
    Hoffman Estates Surgery Center, LLCILAmbulatory Surgical Clinic/Center$2.2M$0
    Access Lab IncILClinical Medical Laboratory$1.9M$10.5K
    Rajiv SoodILInternal Medicine Physician$616.4K$276.1K
    Robert MackILOphthalmology Physician$550.2K$306.8K
    Sonali MajmudarILAllergy & Immunology Physician$94.8K$656.4K
    S & T Medical Group LtdILClinical Medical Laboratory$707.2K$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. Illinois Distribution
    Keith Schmidt — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Keith Schmidt — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois