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

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

Gregory Schmidt (NPI 1740326081)

Key Findings

Field	Value
Entity Type	Individual
Organization	Gregory Schmidt
Address	1380 Lusitana St Ste 604
City	Honolulu
State	HI
ZIP	96813
Taxonomy	Ophthalmology Physician
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicare	$504.3K
Medicaid	$0

This provider’s Medicare footprint is modest in absolute scale with total Medicare revenue of $504.3K and no Medicaid billing on file, so the practice operates effectively as a single-payer (Medicare) billing profile rather than a dual-payer practice. The absence of any Medicaid claims (none) indicates either limited Medicaid participation or a patient panel concentrated in Medicare-eligible populations.

Revenue is highly concentrated: the top three Medicare codes (92012, 92014, 68761) together account for 51.2% of the provider’s total Medicare revenue, with 92012 generating $112.2K (22.3%), 92014 generating $86.4K (17.1%), and 68761 generating $59.4K (11.8%). This concentration means a small set of visit/procedure types drive the majority of billed Medicare dollars.

The code mix (high counts for 92012 and 92014 combined with substantial 92083, 92134 and 92133 volumes) indicates an outpatient ophthalmology practice focused on routine follow-up and diagnostic management: frequent established-patient examinations (92012, 92014) plus extensive visual field and retinal/optic nerve imaging. The presence of 68761 (punctal plug placement) shows capability for office-based minor procedures to manage dry eye, suggesting the practice blends medical management with minor procedural services.

Diagnostic imaging and testing are unusually prominent: 92083 (871 claims, $43.6K) and 92133 (827 claims, $23.2K) both rank in the 99th percentile and are labeled as extreme outliers, while 92134 (1.3K claims, $38.7K) ranks in the 93th percentile as notably above typical national volume. These high relative ranks for visual field testing and OCT imaging reflect a workflow and revenue stream heavily weighted to ancillary diagnostic services rather than just clinic visits or high-volume surgery.

Cataract surgery and associated perioperative services are present but not primary revenue drivers: 66984 generated $44.2K (8.8%) and sits at the 50th percentile (typical), while 66982 generated $20.9K (4.1%, 65th percentile) and 66821 generated $18.9K (3.8%, 63th percentile). This pattern suggests the provider performs cataract procedures but with volumes that are average to modest nationally relative to surgical peers.

Competitive standing is mixed by service line: for established exams and several diagnostic codes the provider is a national high-volume outlier (for example, 92012 ranks #140 of 17177, 92083 ranks #138 of 25484, and 92133 ranks #137 of 24968, each labeled as extreme outliers), indicating above-typical dominance in those ambulatory diagnostic and follow-up services. By contrast, surgical CPTs such as 66984 are at the median (50th percentile), so the provider is not a national leader in cataract surgery volume.

The provider shows long tenure in the Medicare program, with an NPI enumeration date of 2007-01-30 (~19 years ago), reflecting an established presence in the market and likely continuity of patient panel and referral streams. This length of enrollment supports the sustained high diagnostic/test volumes observed across the record.

From a payer-mix and business risk perspective, the combination of single-payer Medicare dependency ($504.3K Medicare revenue and none for Medicaid) together with concentration of revenue in a few codes (top 3 = 51.2%) creates exposure to Medicare reimbursement changes affecting office exams and diagnostic testing; conversely, the strong relative volumes in imaging and field testing represent an operational strength that could be leveraged for care-management contracts or partnerships focused on chronic ophthalmic disease monitoring.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	1,630	$70	$112.2K
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…	970	$90	$86.4K
68761	The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.	840	$70	$59.4K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	100	$440	$44.2K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	870	$50	$43.5K
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.	1,290	$30	$38.7K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	830	$30	$23.2K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	40	$560	$20.9K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	70	$280	$18.9K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	620	$30	$17.3K

Showing 1–10 of 17

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Queens Medical Center	HI	General Acute Care Hospital	$0	$200M
Straub Clinic & Hospital	HI	General Acute Care Hospital	$0	$45.6M
State Of Hawaii Dept. Of Health Adult Mental Health Division	HI	Community/Behavioral Health Agency	$0	$29.3M
Positive Behavior Supports Corporation	HI	Community/Behavioral Health Agency	$0	$26.4M
Easter Seals Hawaii	HI	Developmentally Disabled Services Day Training Agency	$0	$16.8M
The Emergency Group, Inc.	HI	Emergency Medicine Physician	$0	$15M
Hawaii Dental Group, Inc.	HI	General Practice Dentistry	$0	$12.4M
The Queen's Medical Center	HI	General Acute Care Hospital	$0	$10.3M
Hawaii Home Care Inc	HI	Nursing Care Agency	$0	$9.3M
Evergreen Adult Day Care	HI	Adult Day Care Clinic/Center	$0	$8.9M

Gregory Schmidt — 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

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	26	70	60	$640	$88.9K
66982	7	20	30	$770	$25.5K
92014	15	220	120	$90	$22.5K
92012	1	150	110	$60	$13.1K
68761	2	20	70	$80	$11.9K
66821	7	50	30	$260	$11.6K
68840	3	10	30	$170	$8.3K
92134	10	150	60	$30	$7.2K
92286	3	10	110	$30	$5.4K
92083	1	170	70	$50	$4.6K