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

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

Sidney Schechet (NPI 1659714707)

Field	Value
Entity Type	Individual
Organization	Sidney Schechet
Address	9114 Philadelphia Rd Ste 310
City	Baltimore
State	MD
ZIP	21237
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	April 8, 2013

Payer Source	Total Paid
Medicare	$4.2M
Medicaid	$0

Key Findings

This provider is effectively single-payer in the observed data: lifetime Medicare revenue is $4.2M while Medicaid shows none (no Medicaid billing on file), indicating Medicaid contributes no recorded revenue and Medicare dominates the payer mix for this NPI. That concentrated payer exposure should be considered when assessing contract risk and access to non-Medicare patient populations.

Revenue is highly concentrated in three intravitreal biologic codes: J2777 ($2.1M, 49.5% of Medicare revenue, 71.1K claims), J0178 ($707K, 17.0%, 1.1K claims), and J2778 ($557.5K, 13.4%, 3.1K claims), and the precomputed top-3 share is 79.9% of total Medicare revenue. This concentration shows the practice’s revenue model is dominated by drug administration for retinal disease rather than a broad mix of office-based services.

The code mix and volumes indicate a retina-focused, procedure-driven practice: major revenue comes from intravitreal injections (J2777, J0178, J2778) and the procedure code 67028 (2.2K claims, $231.3K, 5.6% of Medicare revenue) with supplemental diagnostic imaging such as 92134 (2.9K claims, $95.8K, 2.3%) and 92235 (563 claims, $63.6K, 1.5%). Together these patterns are consistent with a retina specialist primarily delivering anti-VEGF and newer biologic therapies alongside retina imaging and procedure support.

On national competitive standing for selected services the provider is a high-volume outlier for some retina therapeutics and diagnostics: J2777 ranks #47 of 2039 (98th percentile; notably above typical national volume for this code), 92134 ranks #447 of 26868 (98th percentile; extreme outlier, far above typical national volume for this code), and 99214 ranks #1426 of 479517 (100th percentile; extreme outlier, far above typical national volume for this code). These ranks suggest the provider is a major national participant for specific retina injections and related imaging/E&M intensity rather than a low-volume local practitioner.

Several codes show statistically elevated use relative to peers, implying above-average service intensity: 99214 is labeled an "extreme outlier" (100th percentile), 92134 is an "extreme outlier" (98th percentile), 67028 is "notably above typical national volume" (94th percentile), and 99213 is "notably above typical national volume" (95th percentile). This concentrated intensity across high-level E/M, imaging, and procedural codes points to a practice workflow built around frequent, intervention-focused visits.

Clinical breadth beyond injections appears limited in revenue share: traditional comprehensive ophthalmology codes such as 92014 (642 claims, $62.9K, 1.5% of Medicare revenue) and 92004 (35 claims, $4.3K, 0.1%) contribute a small fraction of revenue compared with injection and imaging codes. That distribution supports the conclusion the provider functions principally as a retina therapeutics practice rather than general ophthalmic primary eye care.

The provider has an established NPI tenure, enumerated on 2013-04-08 (~13 years ago), which—combined with $4.2M in lifetime Medicare revenue—indicates sustained Medicare activity and adoption of newer retinal therapies over an extended period. Longevity plus high-volume drug administration suggests an operational model adapted to delivering recurring intravitreal treatments.

Zero Medicaid billing ("none below — this provider has no Medicaid billing on file") means the provider has negligible Medicaid footprint; from a payer alignment perspective, this makes the provider's participation and impact primarily a Medicare network/benefit consideration and implies limited relevance for Medicaid capitation or network adequacy discussions in-state.

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	71,100	$30	$2.1M
J0178	Injection, aflibercept, 1 mg	1,060	$670	$707K
J2778	Injection, ranibizumab, 0.1 mg	3,130	$180	$557.5K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	2,250	$100	$231.3K
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…	1,960	$110	$211.6K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	2,900	$30	$95.8K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	560	$110	$63.6K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	640	$100	$62.9K
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…	560	$80	$42.6K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	270	$150	$39.6K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Sidney Schechet — 2 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	44	100	950	$690	$887.3K
J2777	2	70	8,520	$30	$487.3K
J2778	5	50	650	$180	$207.8K
J3590	17	20	50	$2,390	$128.9K
67028	10	120	700	$100	$101.5K
J7312	12	20	270	$160	$53.1K
92014	142	620	210	$90	$44K
99214	69	10,270	150	$90	$24.1K
92235	7	90	70	$110	$19.5K
92134	27	490	110	$30	$17.3K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lake Hospital System Inc	OH	Family Medicine Physician	$0	$6.9M
Michael Blair	IL	Retina Specialist (Ophthalmology) Physician	$3M	$2.6M
Mazen Rachid	IL	Pediatrics Physician	$0	$5.1M
David Dao	MD	Retina Specialist (Ophthalmology) Physician	$3.8M	$260
Michael Elman	MD	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
The University Of Chicago Medical Center	IL	General Acute Care Hospital	$0	$3.5M
Anna Mackin	VA	Retina Specialist (Ophthalmology) Physician	$3.1M	$0
Mohamed Farhat	IN	Medical Oncology Physician	$2.2M	$0
Eduardo Braun	IN	Medical Oncology Physician	$1.8M	$0
Timothy Gillison	IL	Hematology & Oncology Physician	$1.7M	$54.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverside Treatment Services LLC	MD	Methadone Clinic	$1M	$56.3M
Thrive Behavioral Health, LLC	MD	Community/Behavioral Health Agency	$0	$51.8M
Medstar Health Visiting Nurse Association, Inc.	MD	Home Health Agency	$0	$26.2M
Medstar Franklin Square Physicians LLC	MD	General Practice Physician	$0	$15.8M
Amedisys Hospice, LLC	MD	Community Based Hospice Care Agency	$0	$15.6M
Mosaic Community Services, Inc.	MD	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$13.9M
Advance Adult Day Care L.L.C.	MD	Adult Day Care Clinic/Center	$0	$7.9M
Franklin Square Hospital Center, Inc	MD	General Acute Care Hospital	$0	$7.2M
Medstar Medical Group Ii	MD	Psychiatry Physician	$0	$6.4M
Edwin F. Aguilar, M.d., P.C.	MD	Pediatrics Physician	$0	$5.6M

Sidney Schechet — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References