Schwartz, Stephen

Schwartz, Stephen was paid $239K by Medicaid between Sep 2018 and Aug 2024, across 6 billing codes. Its largest line is 99242, — 55% of everything it billed.

33Billing provider infoSCHWARTZ, STEPHEN
HARLINGEN, TX 78550

33aNPI1457342412assigned 10/31/2005

33bProvider typeDermatology Physician

28Total paid$239K

24GClaims3,557

24DCodes billed6

24AFirst – last monthSep 2018 – Aug 2024

Compared with peers

Next to other Dermatology Physician providers in Texas

Rank by total paid#13 of 56

Median peer was paid$8K

This provider vs. median32×

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	57	$249.16
2019	13	$22.14
2020	66	$3K
2021	884	$61K
2022	1,080	$73K
2023	898	$62K
2024incomplete	559	$39K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99242		55%	1,932	1,902	$131K
99243		19%	535	525	$46K
17110		19%	514	508	$45K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.9%	394	383	$14K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.0%	140	136	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	42	42	$249.16

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.