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

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

James Schiro (NPI 1437132008)

Field	Value
Entity Type	Individual
Organization	James Schiro
Address	11110 Medical Campus Rd
City	Hagerstown
State	MD
ZIP	21742
Taxonomy	Dermatology Physician
NPI Enumerated	November 28, 2005

Payer Source	Total Paid
Medicare	$215.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

22 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…	910	$60	$58.2K
17311	Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…	70	$450	$32.9K
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…	240	$90	$22.1K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	310	$70	$21.5K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	220	$80	$16.9K
17312	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	50	$340	$16.1K
17262	The provider destroys a malignant lesion on the trunk, arms, or legs using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion is 1.1 cm to 2.0 cm in…	70	$130	$9.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	180	$40	$7.5K
11103	The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…	120	$40	$4.8K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	100	$40	$4.3K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

James Schiro — 1 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	35	40	350	$530	$208K
17312	33	40	180	$360	$68.7K
99214	3,690	10,270	150	$90	$24.1K
17110	128	440	120	$80	$15.5K
17000	283	420	210	$40	$12.9K
99213	288	9,280	100	$60	$12.5K
11102	66	390	120	$70	$12.3K
12032	144	150	30	$210	$10.9K
12052	28	40	20	$160	$7.9K
13152	30	30	30	$230	$7.7K

Showing 1–10 of 22

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical Practices Of Antietam, LLC	MD	General Practice Physician	$0	$20.5M
Meritus Medical Laboratory LLC	MD	Clinical Medical Laboratory	$3.4M	$12.1M
Brook Lane Behavioral Services, Inc.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$14.5M
Meritus Urgent Care, LLC	MD	Urgent Care Clinic/Center	$0	$4.9M
William Su	MD	Vascular Surgery Physician	$1.4M	$0
Syed Mahmood	MD	Medical Oncology Physician	$1M	$0
Sarim Mir	MD	Neurology Physician	$801.3K	$0
Meridian Surgery Center LLC	MD	Ambulatory Surgical Clinic/Center	$614.4K	$0
Ernest Amegashie	MD	Cardiovascular Disease Physician	$588.2K	$130
Hagerstown Surgery Center,llc	MD	Ambulatory Surgical Clinic/Center	$559K	$28.4K

James Schiro — Billing Profile & Reimbursement Data

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James Schiro — 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