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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Schalch
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    Paul Schalch — Billing Profile & Reimbursement Data

    NPI 1558550053 · Chula Vista, CA · Otolaryngology Physician

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    Paul Schalch is a otolaryngology physician provider located in Chula Vista, California. This profile covers 14 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
    OrganizationPaul Schalch
    Address765 Medical Center Ct Ste 210
    CityChula Vista
    StateCA
    ZIP91911
    TaxonomyOtolaryngology Physician
    NPI EnumeratedOctober 20, 2007

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

    Payer SourceTotal Paid
    Medicare$131.2K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    30469The provider applies radiofrequency energy to reshape the nasal valve in both nostrils.30$1,260$31.4K
    30117In 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.50$510$26.1K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.150$170$24.5K
    99204The 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…90$130$11.6K
    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…120$100$11.6K
    64582The provider uses an open approach to implant a hypoglossal nerve neurostimulator electrode array and also implants a programmable pulse generator and one or more distal respiratory sensor…10$700$8.3K
    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…80$70$5.4K
    31237In 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.20$310$4.7K
    30802In this procedure, the provider uses methods like bipolar cautery, reducing the tissue volume, radiofrequency, or somnoplasty to perform ablation of the submucosal area of the inferior turbinates.30$130$3.2K
    G0399Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation40$60$2.6K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6458281020$2,710$48.8K
    3046921020$1,940$38.8K
    9921418,87337,970120$90$23.2K
    3011753030$510$20.4K
    3123112854070$100$20.1K
    958009410040$110$15K
    3123710511040$280$14.3K
    9921317,78634,66080$70$13.2K
    G0399489050$70$7.6K
    992043,47519,36040$120$7.2K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Inderjit MehmiCAHematology & Oncology Physician$2.3M$0
    Iain MacewanCARadiation Oncology Physician$2.2M$0
    Robert BeerCADermatology Physician$2M$0
    Anthony NguyenNVHematology & Oncology Physician$1.8M$0
    Rafal SosnowskiILDiagnostic Radiology Physician$1.7M$75.2K
    Kevin ChenCARetina Specialist (Ophthalmology) Physician$1.8M$0
    Keith MillerFLRadiation Oncology Physician$1.7M$0
    Januario CastroAZHematology & Oncology Physician$1.6M$0
    Suneet GrewalCARheumatology Physician$1.6M$0
    Chris WuNVRetina Specialist (Ophthalmology) Physician$1.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sharp Chula Vista Medical CenterCAGeneral Acute Care Hospital$0$137.6M
    Cardiovascular Institute Of San Diego IncCACardiovascular Disease Physician$0$129.2M
    California Retina Associates, LPCAOphthalmology Physician$0$42.5M
    Centro De Salud De La Comunidad De San Ysidro, Inc.CAFederally Qualified Health Center (FQHC)$0$24.1M
    Sasha Salloum Md Inc A Professional Medical CorporationCAVascular Surgery Physician$0$24M
    Surgery Center Of California -llcCAAmbulatory Surgical Clinic/Center$1.4M$2.9M
    Mehran MoussavianCAInterventional Cardiology Physician$3M$67.3K
    Alexander SalloumCAVascular Surgery Physician$2.8M$0
    Marilyn NortonCAHematology & Oncology Physician$1.6M$1.4K
    San Diego Treatment Services, LLCCAMethadone Clinic$391.4K$1.2M

    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. California Distribution
    Paul Schalch — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California