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    OpenPayerNPI Medicare & MedicaidPaul Schwartz
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    Paul Schwartz — Billing Profile & Reimbursement Data

    NPI 1780796904 · Redding, CA · Orthopaedic Surgery Physician

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    Paul Schwartz is a orthopaedic surgery physician provider located in Redding, California. 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
    OrganizationPaul Schwartz
    Address1255 Liberty Street
    CityRedding
    StateCA
    ZIP96001
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedSeptember 1, 2006

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

    Payer SourceTotal Paid
    Medicare$144K
    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
    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…50$1,120$55.8K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…30$1,010$25.2K
    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…150$90$13.3K
    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…190$70$12.5K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…10$330$4.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…30$150$3.8K
    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…40$110$3.7K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.110$30$2.9K
    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…70$40$2.8K
    23350In this procedure, the provider performs an injection of a contrast agent into the shoulder joint for a shoulder arthrography procedure, a diagnostic test in which the provider obtains a series of…20$130$2.8K

    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
    2744746982030$1,110$48.9K
    27369111060$170$26.9K
    234722619020$870$26K
    9921416,52037,970120$90$23.2K
    975304,6425,200380$30$19.2K
    6472120824020$510$17.7K
    73580131040$110$15.5K
    9921510,81315,36050$130$14.4K
    992139,32834,66080$70$13.2K
    7322169779040$130$8.7K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Farzad SabetCAPhysical Medicine & Rehabilitation Physician$895.3K$0
    Eric JenkinsonCAPediatric Sports Medicine Physician$863.2K$0
    Forrest MonroeCAPain Medicine (Anesthesiology) Physician$712K$0
    Tony ChangCASports Medicine (Family Medicine) Physician$615.4K$0
    Troy MilesCAOrthopaedic Surgery Physician$406K$0
    Matthew PaulTXSports Medicine (Orthopaedic Surgery) Physician$297.5K$0
    David JonesSCOrthopaedic Surgery Physician$277K$0
    Stephen FerraroCAOrthopaedic Hand Surgery Physician$274.5K$0
    Jason NowakCAFoot & Ankle Surgery Podiatrist$253.9K$0
    Jack SchillenCAOrthopaedic Surgery Physician$192.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shasta Community Health CenterCAFederally Qualified Health Center (FQHC)$0$131.9M
    County Of ShastaCAMental Health Clinic/Center (Including Community Mental Health Center)$0$122.5M
    Dignity HealthCAGeneral Acute Care Hospital$0$92.2M
    Redding RancheriaCAFederally Qualified Health Center (FQHC)$0$62.2M
    Shasta County Alcohol And Drug ProgramsCASubstance Use Disorder Rehabilitation Clinic/Center$0$34.5M
    Prime Healthcare Services - Shasta LLCCAGeneral Acute Care Hospital$0$22.7M
    Mohamed KhanCAInterventional Cardiology Physician$5.5M$0
    Michael SumsionCAOphthalmology Physician$3.1M$778.7K
    Redding Surgery Center LLCCAAmbulatory Surgical Clinic/Center$1.5M$2.1M
    Gastroenterology Associates Endoscopy Center, LLCCAAmbulatory Surgical Clinic/Center$1.7M$1.8M

    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. California Distribution
    Paul Schwartz — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California