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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGary Schmitt
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    Gary Schmitt — Billing Profile & Reimbursement Data

    NPI 1578545679 · Edgewood, KY · Diagnostic Radiology Physician

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    Gary Schmitt is a diagnostic radiology physician provider located in Edgewood, Kentucky. This profile covers 21 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
    OrganizationGary Schmitt
    Address1 Medical Village Dr
    CityEdgewood
    StateKY
    ZIP41017
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedNovember 16, 2005

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

    Payer SourceTotal Paid
    Medicare$52.9K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…260$40$9.1K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…260$30$7.3K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…80$90$6.5K
    75574The provider uses computed tomography (CT) with instillation of contrast to examine any defect or abnormality in the heart or coronary artery or any abnormality due to an already present bypass…60$90$4.8K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…50$60$3K
    75572The provider uses computed tomography (CT) to examine the structure and function of heart. The procedure includes three–dimensional post processing, assessments of the functions of heart, and…50$60$2.9K
    75561The provider uses cardiac magnetic resonance imaging (MRI) to examine the structure and function of heart. She initiates the procedure without administration of contrast and follows it with…30$90$2.7K
    74174In this procedure, the provider performs computed tomographic angiography of the abdomen and pelvis with contrast and may take noncontrast images as well. After taking the images, he uses a…30$80$2.7K
    G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)90$20$1.7K
    19083Under ultrasound guidance, the provider takes breast tissue percutaneously from a single lesion for biopsy. He may place a localization device at the same time.10$120$1.7K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    788154110060$210$19.1K
    7706784240100$50$13.4K
    74177240260110$70$9.7K
    770638223090$30$8.4K
    7417625426070$60$7K
    70450232260170$30$6.3K
    7127513221070$60$5.3K
    7125017926090$40$4.8K
    7557484030$90$4K
    71045241290410$10$3.7K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Radiology Associates Of Northern Kentucky, PLLCKYDiagnostic Radiology Physician$0$9.4M
    Rahul SawlaniWIDiagnostic Radiology Physician$329.3K$29.7K
    Eric BrandserKYDiagnostic Radiology Physician$250.5K$0
    Gillbert HallmanMSDiagnostic Radiology Physician$199.3K$0
    Anne KleimeyerKYDiagnostic Radiology Physician$116.9K$0
    James RoebkerKYDiagnostic Radiology Physician$110.7K$0
    John GuluzianKYDiagnostic Radiology Physician$106.2K$0
    Tushar KothariKYDiagnostic Radiology Physician$99.3K$0
    Scott TysonKYDiagnostic Radiology Physician$92.3K$0
    Jason YoungaCOEmergency Medicine Physician$85.1K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Kentucky Distribution
    Gary Schmitt — 0 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky