Physician
Schaeffer, Luis
Schaeffer, Luis was paid $121K by Medicaid between Sep 2020 and Aug 2024, across 22 billing codes. Its largest line is 99091, — 74% of everything it billed.
33Billing provider infoSCHAEFFER, LUIS
CLEVELAND, TX 77327
CLEVELAND, TX 77327
33aNPI1376586230assigned 06/14/2006
33bProvider typeInternal Medicine Physician
28Total paid$121K
24GClaims3,315
24DCodes billed22
24AFirst – last monthSep 2020 – Aug 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#200 of 1,028
Median peer was paid$10K
This provider vs. median12×
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 | 182 | $2K | |
| 2021 | 1,091 | $18K | |
| 2022 | 603 | $43K | |
| 2023 | 1,141 | $37K | |
| 2024incomplete | 298 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99091 | 74% | 612 | 612 | $90K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 687 | 627 | $21K |
| 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 | 8.1% | 265 | 240 | $10K |
| 0513F | <1% | 48 | 46 | $520.00 | |
| 1034F | 0% | 46 | 42 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 144 | 136 | $0.00 |
| 3017F | 0% | 174 | 162 | $0.00 | |
| 3080F | 0% | 12 | 12 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 41 | 40 | $0.00 |
| 1036F | 0% | 279 | 262 | $0.00 | |
| 94762 | 0% | 203 | 197 | $0.00 | |
| 3014F | 0% | 122 | 113 | $0.00 |
10 more codes
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 12 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 402 | $0.00 |
| 3077F | 0% | 27 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 26 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 91 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 27 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 38 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 31 | $0.00 |
| 3078F | 0% | 13 | $0.00 | |
| 4004F | 0% | 15 | $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.