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    OpenPayerNPI Medicare & MedicaidThomas Schmitz
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    Thomas Schmitz — Billing Profile & Reimbursement Data

    NPI 1881771038 · Terre Haute, IN · Radiation Oncology Physician

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    Thomas Schmitz is a radiation oncology physician provider located in Terre Haute, Indiana. This profile covers 15 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
    OrganizationThomas Schmitz
    Address3901 S 7th St
    CityTerre Haute
    StateIN
    ZIP47802
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedNovember 1, 2006

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

    Payer SourceTotal Paid
    Medicare$87.7K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…270$140$38.1K
    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…180$70$12.1K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.130$40$5.5K
    77290Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…80$60$4.7K
    77263The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…30$130$3.8K
    99205The provider sees a new 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 provider…30$130$3.7K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…150$20$3.6K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…20$170$3.6K
    G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy200$20$3K
    77307The provider arranges tangential ports to achieve the isodose beam arrangement for external beam radiation therapy to treat multiple areas at the same time. Isodose means a radiation dose of equal…20$120$2.6K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7742729110180$140$28.9K
    992143,81710,540110$80$15.5K
    77338738040$220$11.6K
    773345990170$50$9.6K
    77263749070$130$8.9K
    G60022960200$30$8.6K
    992137,96110,82080$50$7.6K
    7730071110200$30$7.2K
    7729088040$130$5.4K
    992054921,17030$140$5.1K

    Showing 1–10 of 15

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Summit Bhc Henryville, LLCINSubstance Abuse Rehabilitation Facility$0$90.6M
    Ambulance Management Services LtdINLand Ambulance$2.9M$14.7M
    Terre Haute Regional Hospital, L.P.INGeneral Acute Care Hospital$0$16.7M
    Gibault, Inc.INPsychiatric Residential Treatment Facility$0$13.5M
    MosaicINIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$8.2M
    Providence Medical Group LLCINMulti-Specialty Clinic/Center$0$7.3M
    City Optical Co., Inc.INOptometrist$0$5.9M
    Happiness Bag Players, IncorporatedINDevelopmentally Disabled Services Day Training Agency$0$5.8M
    Wabash Valley Children's DentistryINDentist$0$5.7M
    City Of Terre HauteINLand Ambulance$669K$4.4M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Indiana Distribution
    Thomas Schmitz — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana