Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Schwartz, Marc

Schwartz, Marc was paid $11K by Medicaid between Dec 2020 and Sep 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoSCHWARTZ, MARC
PITTSBURGH, PA 15213
33aNPI1295950806assigned 04/17/2007
28Total paid$11K
24GClaims252
24DCodes billed3
24AFirst – last monthDec 2020 – Sep 2024
Compared with peers

Next to other Gastroenterology Physician providers in Pennsylvania

Rank by total paid#71 of 178
Median peer was paid$6K
This provider vs. median2.0×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
202014$778.18
202180$3K
202229$1K
202354$3K
2024incomplete75$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 132 129 $7K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 30% 91 56 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.7% 29 26 $1K

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.