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

Why is the Medicaid comparison limited to Virginia 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. Virginia (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 Schmitt (NPI 1487653291)

Field	Value
Entity Type	Individual
Organization	Richard Schmitt
Address	100 Sentara Cir
City	Williamsburg
State	VA
ZIP	23188
Taxonomy	Emergency Medical Services (Emergency Medicine) Physician
NPI Enumerated	July 14, 2005

Payer Source	Total Paid
Medicare	$48.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	640	$50	$29.6K
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…	80	$70	$5.7K
11045	The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…	280	$20	$5.7K
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	$100	$4.7K
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…	60	$50	$2.8K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	10	$30	$360

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Richard Schmitt — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	8,393	12,890	140	$80	$21K
99213	7,994	12,440	90	$60	$10K
11042	7	270	80	$70	$9.6K
99204	2,708	6,850	40	$110	$5.9K
97597	146	150	50	$50	$4.3K
11045	6	50	130	$20	$3.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Acs Primary Care Physicians - Southeast PC	SC	Emergency Medicine Physician	$0	$81.7M
Christopher Michaelis	SC	Emergency Medicine Physician	$3.3M	$0
David Lazar	SC	Rheumatology Physician	$2.7M	$0
Charles Degenhardt	GA	Rheumatology Physician	$2.4M	$0
David Chetrit	SC	Rheumatology Physician	$2.3M	$0
Rabih Nayfe	SC	Rheumatology Physician	$2M	$0
Gerald Larochelle	SC	Rheumatology Physician	$1.9M	$0
Ashkan Karimi	VA	Interventional Cardiology Physician	$775.6K	$0
Donald Eagerton	SC	Endocrinology, Diabetes & Metabolism Physician	$734.8K	$0
Douglas Conaway	SC	Rheumatology Physician	$678.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sentara Hospitals	VA	General Acute Care Hospital	$0	$21.9M
Velocity Urgent Care, LLC	VA	Urgent Care Clinic/Center	$0	$20.9M
Addiction Recovery Center Of Virginia	VA	Clinic/Center	$0	$6M
Evolution Recovery Services LLC	VA	Addiction (Substance Use Disorder) Counselor	$0	$5.6M
Bo Zhao	VA	Hematology & Oncology Physician	$2.6M	$0
John Paschold	VA	Specialist	$1.6M	$0
Surgical Suites Of Coastal Virginia, LLC	VA	Ambulatory Surgical Clinic/Center	$1.3M	$8.7K
Sonia Hepburn	VA	Hematology & Oncology Physician	$1.2M	$0
Audra Albert	VA	Family Nurse Practitioner	$639.8K	$0
Aleisha Johnson	VA	Diagnostic Radiology Physician	$626.6K	$0

Richard Schmitt — Billing Profile & Reimbursement Data

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

Richard Schmitt — Billing Profile & Reimbursement Data

Sign up for Richard Schmitt — 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