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    v1.0.28
    OpenPayerNPI Medicare & MedicaidColleen Schmitt
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    Colleen Schmitt — Billing Profile & Reimbursement Data

    NPI 1528023512 · Ooltewah, TN · Gastroenterology Physician

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    Colleen Schmitt is a gastroenterology physician provider located in Ooltewah, Tennessee. This profile covers 25 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationColleen Schmitt
    Address8051 Thunder Farms Trl
    CityOoltewah
    StateTN
    ZIP37363
    TaxonomyGastroenterology Physician
    NPI EnumeratedApril 20, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$144.1K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…320$180$56.8K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…590$20$13.5K
    99214The 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…150$80$12.7K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.200$60$11.1K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk60$170$9.6K
    99213The 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…110$60$6.6K
    91110The provider performs a capsule endoscopy for gastrointestinal tract imaging from esophagus to ileum. He interprets the results and prepares a report for this service.10$550$6K
    43248The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…60$100$5.9K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…60$60$3.8K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…30$100$2.9K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305191420500$30$55.1K
    453851432060$260$27.1K
    992144,95811,370120$80$16.6K
    4538011132040$190$15.3K
    G01055120040$250$13.1K
    432393134070$110$11.2K
    G012116118020$250$8.7K
    91110111020$400$8.3K
    992152,1522,71040$110$8.3K
    992134,19711,03080$50$8K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Galen Medical Group, PCTNInternal Medicine Physician$0$10.2M
    Doloris HawkTNFamily Nurse Practitioner$1.1M$0
    Corinne HinsonTNFamily Nurse Practitioner$492.9K$0
    Chirag PatelTNHepatology Physician$398.5K$3.1K
    Asma KhanTNEndocrinology, Diabetes & Metabolism Physician$175.8K$77.3K
    Ivey WilliamsonTNInternal Medicine Physician$200.6K$0
    Ronald JarlTNFamily Medicine Physician$190K$0
    Sachin PhadeTNVascular Surgery Physician$188.5K$1K
    Nichon GrupkaNCAnatomic Pathology & Clinical Pathology Physician$183.4K$0
    Munford YatesTNGastroenterology Physician$170.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stephen WrightTNPediatric Dentistry$0$2.3M
    Jonathan MillerTNMOHS-Micrographic Surgery Physician$540.1K$0
    Robert PattersonTNOptometrist$77.3K$191.9K
    Dennis FordTNPain Medicine (Anesthesiology) Physician$219K$0
    Mark CragoTNFamily Medicine Physician$159.7K$0
    Kaitlyn RogersTNFamily Nurse Practitioner$151.8K$0
    Kent GrotefendtTNFamily Medicine Physician$138.1K$0
    Cynthia ShafferTNAdult Medicine Physician$112.4K$0
    Shannon MccallieTNInternal Medicine Physician$92.3K$0
    Gordon MorelandTNPhysical Therapist$73.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Tennessee Distribution
    Colleen Schmitt — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee