Schwartz Mumford, Mary
Schwartz Mumford, Mary was paid $106K by Medicaid between Feb 2018 and Jan 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 92% of everything it billed.
33Billing provider infoSCHWARTZ MUMFORD, MARY
HOPE, RI 02831
HOPE, RI 02831
33aNPI1306995675assigned 01/09/2007
33bProvider typeMidwife
28Total paid$106K
24GClaims2,263
24DCodes billed7
24AFirst – last monthFeb 2018 – Jan 2024
Compared with peers
Next to other Midwife providers in Rhode Island
Rank by total paid#2 of 9
Median peer was paid$53K
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
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 | 497 | $21K | |
| 2020 | 452 | $19K | |
| 2021 | 457 | $20K | |
| 2022 | 539 | $25K | |
| 2023 | 305 | $19K | |
| 2024incomplete | 13 | $986.28 |
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 | 92% | 2,004 | 1,774 | $97K |
| 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 | 4.6% | 66 | 56 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 12 | 12 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 129 | 124 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | 12 | $947.54 |
| 90461 | <1% | 27 | 26 | $573.85 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | 12 | $102.80 |
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.