Schwartz, Tovah

Schwartz, Tovah was paid $430K by Medicaid between Jan 2021 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.

33Billing provider infoSCHWARTZ, TOVAH
BARTLETT, IL 60103

33aNPI1154850667assigned 06/08/2017

33bProvider typePediatrics Physician

28Total paid$430K

24GClaims11,715

24DCodes billed37

24AFirst – last monthJan 2021 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#332 of 1,805

Median peer was paid$55K

This provider vs. median7.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2021	593	$20K
2022	4,963	$173K
2023	3,813	$138K
2024incomplete	2,346	$99K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24%	2,020	1,820	$104K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	18%	984	928	$79K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	12%	650	542	$50K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	8.4%	522	411	$36K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	6.5%	672	644	$28K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.4%	305	270	$23K
96110	Developmental screening, with scoring and documentation, per standardized instrument	3.6%	821	709	$15K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	2.9%	277	265	$12K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.8%	142	123	$12K
96127		2.5%	751	650	$11K
D1206	Topical application of fluoride varnish	2.5%	411	351	$11K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.1%	544	382	$9K

25 more codes

87428		1.3%	101	$6K
90677		1.1%	46	$5K
90670		1.1%	256	$5K
99000		<1%	224	$3K
90686		<1%	173	$3K
92587		<1%	167	$2K
90698		<1%	150	$2K
85018		<1%	926	$2K
87807		<1%	142	$1K
90700		<1%	77	$1K
99284	Emergency room visit (serious)	<1%	16	$1K
90651		<1%	43	$926.90
90656		<1%	50	$835.50
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	23	$812.59
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	60	$707.18
99283	Emergency room visit (moderate)	<1%	17	$678.42
81002		<1%	254	$657.60
90680		<1%	44	$648.22
99238	Hospital discharge day management, 30 minutes or less	<1%	15	$613.71
86580		<1%	99	$516.78
90734		<1%	34	$514.19
90619		<1%	27	$451.17
36416		<1%	82	$336.20
90460	Immunization administration through 18 years of age via any route, first or only component	0%	451	$0.00
90461		0%	139	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.