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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHilary Schmidt
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    Hilary Schmidt — Billing Profile & Reimbursement Data

    NPI 1770762734 · Sprinfield, VA · Physician Assistant

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    Hilary Schmidt is a physician assistant provider located in Sprinfield, Virginia. This profile covers 28 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
    OrganizationHilary Schmidt
    Address5510 Alma Lane
    CitySprinfield
    StateVA
    ZIP22151
    TaxonomyPhysician Assistant
    NPI EnumeratedOctober 26, 2007

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

    Payer SourceTotal Paid
    Medicare$87K
    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…310$90$26.6K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit130$130$16.6K
    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…210$60$12.1K
    87636The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…40$140$5.2K
    91320This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.30$130$3.5K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…40$80$2.8K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…150$20$2.5K
    G0444Annual depression screening, 5 to 15 minutes110$20$2.1K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.130$10$1.7K
    G0008Administration of influenza virus vaccine50$40$1.6K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,50912,890140$80$21K
    9132069791070$130$15K
    G04399542,96080$120$14.7K
    992133,09412,44090$60$10K
    80061377630180$10$8.1K
    906941,0121,48070$70$8.1K
    84443232610110$20$7.3K
    87636103020$130$6.6K
    904801,1921,470120$40$5.5K
    8302161090$20$4.2K

    Showing 1–10 of 28

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hartwood Foundation, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$52.4M
    Central Fairfax Services IncVADevelopmentally Disabled Services Day Training Agency$0$35.1M
    Fassity Home Care LLCVAHome Health Agency$0$11.4M
    Multicultural Clinical CenterVACounselor$0$9.4M
    Jacqueline K. Hoang Md PCVAPediatrics Physician$0$8.6M
    Global Healthcare Services, LLCVASpeech-Language Pathologist$0$8.3M
    Anita BanerjeeVACardiovascular Disease Physician$837.8K$740
    Seema SharmaVAInternal Medicine Physician$683.6K$0
    Charles TonerVAMOHS-Micrographic Surgery Physician$666.1K$0
    Missale MesfinVAMOHS-Micrographic Surgery Physician$661.4K$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.

    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. Virginia Distribution
    Hilary Schmidt — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia