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NPI 1457342412 · Harlingen, TX · Dermatology Physician
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Stephen Schwartz is a dermatology physician provider located in Harlingen, Texas. This profile covers 17 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Stephen Schwartz |
| Address | 1919 N Ed Carey Dr |
| City | Harlingen |
| State | TX |
| ZIP | 78550 |
| Taxonomy | Dermatology Physician |
| NPI Enumerated | October 31, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $239K |
| Medicare | $91.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 370 | $40 | $14.2K |
| 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… | 160 | $80 | $13K |
| 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,… | 310 | $40 | $12.9K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 130 | $50 | $6.6K |
| 17003 | In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through… | 1,300 | $10 | $6.5K |
| 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. | 80 | $70 | $5.5K |
| 17281 | The provider destroys a malignant lesion on the face, ears, eyelids, nose, lips, or mucous membrane using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion… | 40 | $130 | $5K |
| 17261 | 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 0.6 cm to 1.0 cm in… | 60 | $90 | $4.7K |
| 17004 | The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. | 40 | $130 | $4.6K |
| 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… | 30 | $130 | $4.3K |
Showing 1–10 of 17
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 17110 | 423 | 1,250 | 110 | $70 | $12.1K |
| 11102 | 790 | 1,260 | 120 | $60 | $10.7K |
| 17000 | 339 | 1,400 | 170 | $30 | $9.7K |
| 17004 | 390 | 720 | 40 | $110 | $9.1K |
| 99213 | 19,616 | 29,790 | 70 | $60 | $8.4K |
| 17003 | 320 | 1,280 | 570 | $1 | $4.6K |
| 17282 | 27 | 70 | 20 | $140 | $4.4K |
| 17281 | 18 | 70 | 20 | $120 | $4K |
| 17262 | 119 | 410 | 20 | $110 | $3.8K |
| 11103 | 937 | 950 | 50 | $40 | $3.2K |
Showing 1–10 of 17
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99242 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a straightforward level of medical decision making or the… | 1,930 | $70 | $131.4K |
| 99243 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at… | 540 | $90 | $46K |
| 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… | 510 | $90 | $45.2K |
| 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… | 390 | $40 | $14.2K |
| 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,… | 140 | $20 | $2.5K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 40 | $10 | $250 |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 3,579 | 6,040 | 710 | $40 | $232.8K |
| 99243 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at… | 61 | 180 | 220 | $90 | $129.2K |
| 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… | 21 | 70 | 80 | $80 | $84.7K |
| 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,… | 1,095 | 1,920 | 220 | $30 | $65.9K |
| 99242 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a straightforward level of medical decision making or the… | 3 | 60 | 70 | $70 | $31.4K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 332 | 550 | 70 | $40 | $22.3K |
Other providers in the same ZIP code as Stephen Schwartz, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| First Primary Home Care, Inc | TX | Home Health Agency | $0 | $161.5M |
| Texas Visiting Nurse Service, Ltd. | TX | Home Health Agency | $0 | $138.2M |
| Agua Cristalina Home Care, LLC | TX | Home Health Agency | $0 | $108.1M |
| Apc Home Health Service, Inc. | TX | Home Health Agency | $0 | $97.1M |
| Mizpah Residential Care. Inc. | TX | Home Health Agency | $0 | $45.5M |
| Su Clinica Familiar | TX | Federally Qualified Health Center (FQHC) | $0 | $37.6M |
| Vicki Roy Home Health Service, LP | TX | Home Health Agency | $0 | $29.5M |
| Nuevo Destino Primary Home Care LLC | TX | Personal Care Attendant | $0 | $26.6M |
| Santa Cruz Health Services, Inc | TX | Home Health Agency | $0 | $23.8M |
| Vhs Harlingen Hospital Company LLC | TX | General Acute Care Hospital | $0 | $23.6M |
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