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

Why is the Medicaid comparison limited to Idaho 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. Idaho (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 Schmutz (NPI 1508936923)

Field	Value
Entity Type	Individual
Organization	James Schmutz
Address	3100 Channing Way
City	Idaho Falls
State	ID
ZIP	83404
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	November 9, 2006

Payer Source	Total Paid
Medicare	$105.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	240	$100	$22.7K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	300	$70	$19.7K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	200	$60	$12.2K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	210	$30	$6.5K
72141	In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.	90	$60	$5.8K
70496	The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's head using computed tomographic scanning. Noncontrast images, if performed, are included in…	50	$100	$4.8K
72146	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the thoracic spinal canal and contents without using contrast.	70	$60	$4.3K
70498	The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's neck using computed tomographic scanning. Noncontrast images, if performed, are included in…	40	$80	$3.4K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	20	$130	$3.2K
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…	60	$50	$2.9K

Showing 1–10 of 27

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

James Schmutz — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

27 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
62323	36	40	70	$120	$8.6K
70553	2	40	70	$90	$7.9K
72148	4	60	80	$60	$6.9K
99213	1,629	2,770	70	$50	$5.7K
70450	36	110	140	$30	$4.7K
99204	932	1,180	30	$100	$4.2K
70551	2	70	40	$60	$3.8K
72141	5	40	40	$60	$3.2K
70496	28	80	40	$60	$3.1K
70498	33	90	40	$60	$2.9K

Showing 1–10 of 27

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Radiology Associates Of Southwest Louisiana	LA	Diagnostic Radiology Physician	$0	$18.4M
Jefferson Radiology, PC	CT	Diagnostic Radiology Physician	$0	$14M
Golden State Imaging Associates Inc	TX	Diagnostic Radiology Physician	$0	$11.7M
Iftikhar Ahmad	NY	Diagnostic Radiology Physician	$3.8M	$650.3K
Louisville Radiology Imaging Consultants, PLLC	KY	Diagnostic Radiology Physician	$0	$4.3M
Franklin County Medical Center	ID	Critical Access Hospital	$0	$4.2M
Franklin County Medical Center	ID	Rural Health Clinic/Center	$0	$4.2M
Medical Imaging Associates Of Idaho Falls, Inc	ID	Diagnostic Radiology Physician	$0	$4.2M
Imaging Associates Of New Mexico LLC	NM	Diagnostic Radiology Physician	$0	$3.2M

James Schmutz — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References