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    OpenPayerNPI Medicare & MedicaidMartin Schear
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    Martin Schear — Billing Profile & Reimbursement Data

    NPI 1801885355 · Dayton, OH · Family Medicine Physician

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    Martin Schear is a family medicine physician provider located in Dayton, Ohio. This profile covers 7 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
    OrganizationMartin Schear
    Address1100 Salem Ave
    CityDayton
    StateOH
    ZIP45406
    TaxonomyFamily Medicine Physician
    NPI EnumeratedOctober 18, 2005

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

    Payer SourceTotal Paid
    Medicare$26.3K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…310$50$16.2K
    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…80$80$6.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit20$120$2.7K
    99422Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code…20$10$220
    82947The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.40$1$170
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…20$10$160
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…40$1$80

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921410,82020,010100$70$11.7K
    G04393,7714,72060$90$7.4K
    992131,74320,00070$50$6.6K
    830361,9132,11040$10$2.4K
    82947385060$1$1.1K
    9942292020$20$420
    810034621,76020$1$140

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Five Rivers Health CentersOHFederally Qualified Health Center (FQHC)$0$13.1M
    Senior Resource ConnectionOHIn Home Supportive Care Agency$0$8.1M
    Rose Health Care Services, LtdOHHome Health Agency$0$6.8M
    Bharat RajuOHFamily Medicine Physician$59.6K$433.8K
    Kurt StedjeOHDiagnostic Radiology Physician$98.9K$0
    Adrienne MerrickOHCertified Registered Nurse Anesthetist$56.3K$0
    Ejaz AhmadOHAnatomic Pathology & Clinical Pathology Physician$43.5K$0
    Adam WaldmanOHAnesthesiology Physician$8.9K$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. Ohio Distribution
    Martin Schear — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio