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NPI 1518182724 · Mequon, WI · Otolaryngology Physician
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Richard Schmidt is a otolaryngology physician provider located in Mequon, Wisconsin. This profile covers 7 Medicare and 3 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 | Richard Schmidt |
| Address | 10610 N Port Washington Rd |
| City | Mequon |
| State | WI |
| ZIP | 53092 |
| Taxonomy | Otolaryngology Physician |
| NPI Enumerated | April 14, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $367.6K |
| Medicaid | $3.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 31296 | The provider passes an endoscope through the nasal cavity of the patient to bring about dilation of the ostium, or opening, of the frontal sinus. | 60 | $1,870 | $110.6K |
| 31295 | The provider passes an endoscope into the nasal cavity of the patient. He also dilates the ostium, or opening, of the maxillary sinus. The approach is either through the nose or via a depression on… | 60 | $1,660 | $104.4K |
| 30117 | In this procedure, the provider excises or destroys a lesion in the nose through an internal approach, in which the provider places the surgical instruments into the nose to perform the procedure. | 160 | $400 | $65.3K |
| 31237 | In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement. | 210 | $270 | $54.7K |
| 30140 | This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method). | 80 | $170 | $12.7K |
| 70486 | The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam. | 110 | $100 | $11.1K |
| 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… | 100 | $90 | $8.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 70486 | The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam. | 20 | $130 | $2.7K |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 20 | $30 | $510 |
| 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… | 20 | $30 | $500 |
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 1,395 | 1,630 | 270 | $40 | $205.3K |
| 70486 | The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam. | 44 | 50 | 150 | $40 | $23.9K |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 19 | 30 | 70 | $30 | $11.5K |
Other providers in the same ZIP code as Richard Schmidt, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Wisconsin Radiology Specialists, S C | WI | Specialist | $0 | $5.7M |
| East Mequon Surgery Center LLC | WI | Ambulatory Surgical Clinic/Center | $375.9K | $49.3K |
| Adam Bryant | WI | Diagnostic Radiology Physician | $124.4K | $200K |
| Southern Ozaukee Fire And Emergency Medical Services Department | WI | Land Ambulance | $240.2K | $3.2K |
| Yao Chen | WI | Diagnostic Radiology Physician | $143.4K | $96K |
| Lisa Bennett | WI | Ophthalmology Physician | $207.9K | $0 |
| Sanjeevi Vridhachalam | WI | Diagnostic Radiology Physician | $56.8K | $130.6K |
| Greg Watchmaker | WI | Orthopaedic Hand Surgery Physician | $144.8K | $0 |
| Emil Hurst | WI | Vascular & Interventional Radiology Physician | $128.8K | $13.5K |
| Ramin Golchini | WI | Diagnostic Radiology Physician | $101.2K | $29.5K |
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