Physician
Schwartz, Robert
Schwartz, Robert was paid $42K by Medicaid between Nov 2020 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoSCHWARTZ, ROBERT
ERIE, PA 16507
ERIE, PA 16507
33aNPI1205832581assigned 06/22/2005
33bProvider typeGastroenterology Physician
28Total paid$42K
24GClaims633
24DCodes billed5
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers
Next to other Gastroenterology Physician providers in Pennsylvania
Rank by total paid#41 of 178
Median peer was paid$6K
This provider vs. median7.3×
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 | |
|---|---|---|---|
| 2020 | 24 | $2K | |
| 2021 | 136 | $8K | |
| 2022 | 72 | $5K | |
| 2023 | 222 | $17K | |
| 2024incomplete | 179 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 60% | 454 | 452 | $25K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 19% | 67 | 67 | $8K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 17% | 87 | 87 | $7K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.2% | 13 | 12 | $935.83 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 12 | 12 | $462.00 |
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.