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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJacob Schaeffer
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    Jacob Schaeffer — Billing Profile & Reimbursement Data

    NPI 1790077022 · Watertown, SD · Surgery Physician

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    Jacob Schaeffer is a surgery physician provider located in Watertown, South Dakota. This profile covers 13 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
    OrganizationJacob Schaeffer
    Address401 9th Ave Nw
    CityWatertown
    StateSD
    ZIP57201
    TaxonomySurgery Physician
    NPI EnumeratedMay 4, 2011

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

    Payer SourceTotal Paid
    Medicare$43K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…80$200$15.7K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.70$70$4.8K
    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…60$80$4.6K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk20$170$3K
    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…30$100$2.9K
    99203The provider sees a new 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 provider…40$60$2.4K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…30$70$2.2K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk10$170$1.9K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…20$120$1.8K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…30$40$1.2K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    45385216050$250$21.9K
    992149861,66090$70$11.4K
    45380386040$140$9.9K
    G0105374020$220$7.5K
    43239267050$90$7.2K
    45378193020$170$6.5K
    G0121223020$210$5.8K
    9920435667030$100$5.1K
    9920322960030$60$2.9K
    43235313030$90$2.4K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prairie Lakes Health Care System IncSDRural Acute Care Hospital$0$2M
    Prairie Lakes Health Care System IncSDRural Acute Care Hospital$0$703.4K
    Reed SmithCODiagnostic Radiology Physician$493.2K$0
    Coteau Des Prairies HospitalSDMulti-Specialty Clinic/Center$0$438.4K
    Aaron GouldILDiagnostic Radiology Physician$126.2K$209.3K
    Trudi ParkerMNDiagnostic Radiology Physician$317.2K$0
    Hollis NipeSDInternal Medicine Physician$246.8K$0
    Michael RoganMNDiagnostic Radiology Physician$245K$0
    Eric WoolleySDFoot & Ankle Surgery Podiatrist$238.4K$0
    Scott TornessSDFoot & Ankle Surgery Podiatrist$211.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Human Service AgencySDAddiction (Substance Use Disorder) Counselor$0$39M
    Brown Clinic PllpSDFamily Medicine Physician$0$3.1M
    Thane Evans Crump Dds PCSDEndodontics$0$2.3M
    Human Service AgencySDCase Management Agency$0$2.3M
    Sanford ClinicSDFamily Medicine Physician$0$2M
    Prairie Lakes Home ConnectionsSDSupports Brokerage Agency$0$1.2M
    Big Stone Therapies Watertown, LLCSDPhysical Therapy Clinic/Center$0$1.1M
    City Of WatertownSDLand Ambulance$475.4K$390.4K
    Bridgeway Counseling Center Inc.SDPsychologist$0$813.1K
    Chad D. Beynon, O.d., P.C.SDOptometrist$0$630.8K

    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 Dakota Distribution
    Jacob Schaeffer — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota