Clinic
Schmitz Family Practice and Rural Health, PLLC
Schmitz Family Practice and Rural Health, PLLC was paid $337K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.
33Billing provider infoSCHMITZ FAMILY PRACTICE AND RURAL HEALTH, PLLC
CHARLESTON, AR 72933
CHARLESTON, AR 72933
33aNPI1285949495assigned 08/11/2010
33bProvider typePrimary Care Clinic/Center
28Total paid$337K
24GClaims14,683
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Arkansas
Rank by total paid#18 of 64
Median peer was paid$92K
This provider vs. median3.7×
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 | 2,221 | $56K | |
| 2019 | 2,829 | $66K | |
| 2020 | 2,026 | $47K | |
| 2021 | 2,738 | $55K | |
| 2022 | 2,472 | $47K | |
| 2023 | 1,311 | $39K | |
| 2024incomplete | 1,086 | $28K |
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 | 67% | 8,049 | 6,466 | $226K |
| 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 | 24% | 1,785 | 1,524 | $82K |
| 99307 | 2.7% | 685 | 584 | $9K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.8% | 575 | 264 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 262 | 239 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 109 | 48 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 90 | 70 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,194 | 1,039 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 56 | 30 | $2K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 12 | 12 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 15 | 12 | $772.09 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29 | 12 | $327.25 |
14 more codes
| 99442 | <1% | 81 | $265.65 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 13 | $149.96 |
| 1125F | <1% | 282 | $16.69 | |
| 81002 | <1% | 15 | $10.98 | |
| 3288F | <1% | 206 | $0.02 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 376 | $0.00 |
| 1126F | 0% | 227 | $0.00 | |
| 1006F | 0% | 36 | $0.00 | |
| 3074F | 0% | 41 | $0.00 | |
| 3078F | 0% | 27 | $0.00 | |
| 1160F | 0% | 30 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 277 | $0.00 |
| 1100F | 0% | 179 | $0.00 | |
| 5015F | 0% | 32 | $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 officialSCHMITZ, JAMES (OWNER)