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 Armed Forces Europe for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Europe 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. Armed Forces Europe (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.

Claire Schmidt (NPI 1821254236)

Field	Value
Entity Type	Individual
Organization	Claire Schmidt
Address	Raf Lakenheath 48 Mdg
City	Apo
State	AE (Armed Forces Europe)
ZIP	09461
Taxonomy	Optometrist
NPI Enumerated	August 5, 2008

Payer Source	Total Paid
Medicare	$13.8K
Medicaid	$0

Key Findings

This provider’s Medicare business is very small in absolute terms, reporting total Medicare revenue of $13.8K and no Medicaid billing on file, effectively making this an almost exclusively Medicare-billed practice. The absence of any Medicaid claims indicates a single-payer footprint in the available data rather than a mixed Medicaid/Medicare payer mix.

Revenue is highly concentrated in a few outpatient evaluation-and-management codes: the precomputed top-3 Medicare codes account for 72.7% of this provider’s total Medicare revenue, with 99214 alone contributing $6.2K (44.4%). That concentration signals reliance on a small set of visit-based services for the bulk of collected Medicare dollars.

The code mix (99214, 99213, 99204, 99212) is dominated by office/outpatient E/M visits, showing the practice is primarily delivering established- and new-patient clinical eye care rather than high-volume procedural revenue. Ancillary eye-specific diagnostics such as 92250 (fundus photography), 92083 (visual field), and 92133 (OCT imaging) further indicate a comprehensive outpatient ophthalmic/optometric service line centered on evaluation and diagnostic testing.

The presence of 66984 (18 claims, $1.5K revenue, 10.7% of Medicare revenue) alongside primarily E/M and diagnostic codes suggests some involvement in cataract surgical episodes or perioperative co-management, but the national rank and label indicate this is not a major surgical practice. 66984 ranks #15246 of 15965 providers nationally (3th percentile; typical, unremarkable volume for this code), which characterizes the provider as a modest participant in cataract-related billing rather than a high-volume surgeon.

Competitive standing on core office-visit codes is modest: 99214 (81 claims, $76 avg paid/claim, $6.2K) ranks #276950 of 479517 nationally (42th percentile; typical, unremarkable volume for this code), and 99213 (42 claims, $58 avg paid/claim, $2.4K) ranks #308122 of 457151 (32th percentile; typical, unremarkable volume for this code). These percentile placements and the labeling as "typical, unremarkable volume" imply the provider operates at a routine, non-dominant scale versus national peers for common eye-care visits.

Several diagnostic codes appear at low-to-moderate national percentiles, reinforcing the picture of a modest, general eye-care practice rather than a regional center of excellence: 92250 (36 claims, $900 revenue) ranks #16508 of 25087 (33th percentile; typical, unremarkable volume), 92083 (21 claims, $798 revenue) ranks #20292 of 25484 (19th percentile; typical, unremarkable volume), and 92133 (19 claims, $418 revenue) ranks #20947 of 24968 (15th percentile; typical, unremarkable volume). These placements suggest routine use of imaging and diagnostic services without elevated specialty concentration.

The provider has an established NPI tenure, enumerated on 2008-08-05 (~18 years ago), which indicates long-standing enrollment in Medicare. Despite long tenure, the aggregate Medicare receipts are limited ($13.8K lifetime in the file), so the provider’s historical billing activity appears limited in scale rather than new or transient.

There are no statistical red flags in the provided labels: every listed code is described as "typical, unremarkable volume for this code" in its national comparison. That uniform labeling across E/M, diagnostic, and surgical codes supports a conclusion of routine practice-level activity and no conspicuous outlier behavior in the available Medicare claims patterns.

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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	$6.2K
99213	The 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…	40	$60	$2.4K
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…	20	$80	$1.5K
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,…	40	$30	$900
99204	The 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…	20	$60	$900
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…	20	$40	$800
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$40	$770
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…	20	$20	$420

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Europe Distribution

Claire Schmidt — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Europe

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	8	20	70	$90	$15.4K
99213	11	20	60	$60	$10.8K
99204	9	10	30	$110	$5.7K
66984	1	10	20	$80	$1.5K
92083	1	10	20	$40	$800
99212	2	10	20	$40	$690
92250	1	10	30	$30	$640
92133	1	10	20	$20	$410

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Hamp	NC	Optometrist	$30.3K	$0
Marie Huegel	NC	Optometrist	$23K	$0
Kalene Fix-mastenbrook	NC	Optometrist	$4.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Heino	AE (Armed Forces Europe)	Family Medicine Physician	$31.3K	$136.8K
Joshua Latham	AE (Armed Forces Europe)	Family Medicine Physician	$84.3K	$0
Immacula Nezier	AE (Armed Forces Europe)	Women's Health Nurse Practitioner	$68.4K	$0
Delila Donaldson	AE (Armed Forces Europe)	Clinical Social Worker	$18.2K	$36.4K
Eric Butters	AE (Armed Forces Europe)	Family Nurse Practitioner	$2.6K	$18.5K
Linda Schemm	AE (Armed Forces Europe)	Physical Therapist	$19.5K	$0
Hilary Stamp	AE (Armed Forces Europe)	Pediatrics Physician	$0	$19.1K
Samuel Kjome	AE (Armed Forces Europe)	Family Medicine Physician	$16.2K	$0
Michelle Sanger	AE (Armed Forces Europe)	Physician Assistant	$13.9K	$0
Jennifer Chow	AE (Armed Forces Europe)	Child & Adolescent Psychiatry Physician	$10.7K	$0

Claire Schmidt — Billing Profile & Reimbursement Data

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Claire 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

Related Providers

Nearby Providers

Frequently Asked Questions

References