Peter Schwartz, MD, PLLC

Peter Schwartz, MD, PLLC was paid $316K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 61% of everything it billed.

33Billing provider infoPETER SCHWARTZ, MD, PLLC
ITHACA, NY 14850

33aNPI1235212002assigned 10/23/2006

33bProvider typeOphthalmology Physician

28Total paid$316K

24GClaims6,869

24DCodes billed11

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#226 of 1,085

Median peer was paid$34K

This provider vs. median9.3×

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
2018	1,000	$35K
2019	1,137	$39K
2020	1,095	$45K
2021	1,021	$50K
2022	1,057	$62K
2023	836	$46K
2024incomplete	723	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	61%	2,279	2,271	$194K
92002		35%	1,335	1,334	$110K
V2020	Frames, purchases	1.7%	89	89	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.5%	57	51	$5K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	<1%	25	13	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	14	14	$793.09
92015	Determination of refractive state	<1%	1,158	1,158	$347.40
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	843	758	$0.00
1036F		0%	30	26	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	909	821	$0.00
G8482	Influenza immunization administered or previously received	0%	130	111	$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.

From NPPES

Who's on the registration

Authorized officialSCHWARTZ, PETER (OWNER)