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

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

Marc Schwartz (NPI 1508960188)

Field	Value
Entity Type	Individual
Organization	Marc Schwartz
Address	200 W Arbor Dr
City	San Diego
State	CA
ZIP	92103
Taxonomy	Neurological Surgery Physician
NPI Enumerated	September 12, 2006

Payer Source	Total Paid
Medicare	$40.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
61616	In this procedure, the provider removes defected tissues present at the base of the skull, within or below the covering of the brain to remove any defect or abnormality, such as a neoplasm at the…	10	$1,630	$21.2K
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…	40	$130	$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…	70	$70	$4.7K
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…	30	$100	$3.4K
69990	Use this code in addition to the code for a primary procedure when the provider uses an operating microscope to facilitate microsurgical techniques involving cutting or suturing.	20	$170	$2.8K
99205	The 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…	10	$190	$2.4K
99203	The provider sees a new 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 provider…	10	$100	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Marc Schwartz — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	30,497	37,970	120	$90	$23.2K
61616	1	10	10	$1,560	$20.3K
99213	19,114	34,660	80	$70	$13.2K
99205	7,248	8,360	30	$170	$7.2K
99204	9,484	19,360	40	$120	$7.2K
99203	10,677	12,740	30	$80	$4.6K
69990	19	30	20	$180	$3.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rady Children's Hospital San Diego	CA	Pediatrics Physician	$0	$77.3M
Rady Children's Hospital San Diego	CA	Children's Hospital	$0	$69.1M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Atul Jain	CA	Ophthalmology Physician	$3.5M	$0
Iain Macewan	CA	Radiation Oncology Physician	$2.2M	$0
Rafal Sosnowski	IL	Diagnostic Radiology Physician	$1.7M	$75.2K
Keith Miller	FL	Radiation Oncology Physician	$1.7M	$0
Januario Castro	AZ	Hematology & Oncology Physician	$1.6M	$0
Carl Rossi	CA	Radiation Oncology Physician	$1.6M	$0
Steven Davis	CA	Radiation Oncology Physician	$1.4M	$0

Marc Schwartz — Billing Profile & Reimbursement Data

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Marc Schwartz — 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