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    OpenPayerNPI Medicare & MedicaidMatthew Schwartz
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    Matthew Schwartz — Billing Profile & Reimbursement Data

    NPI 1669572806 · Rock Hill, SC · Orthopaedic Surgery Physician

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    Matthew Schwartz is a orthopaedic surgery physician provider located in Rock Hill, South Carolina. This profile covers 12 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
    OrganizationMatthew Schwartz
    Address134 Professional Park Dr
    CityRock Hill
    StateSC
    ZIP29732
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedSeptember 25, 2006

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

    Payer SourceTotal Paid
    Medicare$113.8K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…40$1,070$40.8K
    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…230$90$20.1K
    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…180$60$11.6K
    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$120$10.1K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…190$50$9.5K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…10$770$9.2K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.200$20$4.5K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…30$90$2.9K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,860$1$1.9K
    29826The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and repairs the shoulder blade and coracoacromial ligament to alleviate shoulder…10$120$1.5K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,1437,860160$80$23.2K
    23472199020$790$21.3K
    29827779020$880$20.1K
    992132,3917,690100$60$10.8K
    2061021081070$50$7.3K
    992049424,52040$110$6.4K
    7322110316050$90$5.3K
    29826638020$100$2.1K
    730305572040$20$1.3K
    J330158710170$1$470

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carolinas Medical CenterNCGeneral Acute Care Hospital$0$178.2M
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$58.1M
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$56.5M
    Carolinas Medical CenterNCSurgical Critical Care Physician$0$52.9M
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$42.8M
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$38.1M
    Carolinas Physicians Network IncNCPsychologist$0$29.4M
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$20.7M
    Carolinas Medical CenterNCPsychiatric Hospital Unit$0$20.6M
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$20.1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amisub Of South Carolina, Inc.SCGeneral Acute Care Hospital$0$34.5M
    New Horizons HomecareSCCommunity Based Hospice Care Agency$0$14.6M
    Tri-county Pediatrics LLCSCPediatrics Physician$0$13.8M
    Carolinas Physicians Network IncSCPediatrics Physician$0$8.5M
    A Mother's Choice Home Healthcare Agency LLCSCIn Home Supportive Care Agency$0$6.9M
    Right Steps LLCSCSpeech-Language Pathologist$0$5.3M
    Southern Home Care Services, Inc.SCIn Home Supportive Care Agency$0$4M
    Addus Healthcare (south Carolina), Inc.SCIn Home Supportive Care Agency$0$3.7M
    Family Dental LLCSCGeneral Practice Dentistry$0$3.5M
    Rock Hill Surgery Center, LLCSCAmbulatory Surgical Clinic/Center$1.3M$1.7M

    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. South Carolina Distribution
    Matthew Schwartz — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina